Individual
MS. DEAMI FAIDA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
801 N 11TH STREET, SAINT LOUIS, MO 63101
(314) 633-5354
Mailing address
3530 BAMBERGER AVE., SAINT LOUIS, MO 63116-4733
(314) 633-5354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005013508
MO
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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