Individual
MADISON ANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3501 DUNN RD STE 108, FLORISSANT, MO 63033-6762
(314) 972-8070
(314) 972-8794
Mailing address
3501 DUNN RD STE 108, FLORISSANT, MO 63033-6762
(314) 972-8070
(314) 972-8794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2026027948
MO
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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