Individual
THERESA ROSE VISINTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6022 S LINDBERGH BLVD, SAINT LOUIS, MO 63123-7029
(314) 845-7751
Mailing address
6033 PERNOD AVE, SAINT LOUIS, MO 63139-1908
(314) 401-6226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018015905
MO
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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