Most Relevant Information
Provider Data
| NPI Number: | 1003058223 |
| Provider Name: | AMY R SHORES SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2006004092 |
Most Important Dates
| Enumeration Date: | 04/02/2009 |
| Last Updated: | 04/02/2009 |
Provider Practice Location
10 SOUTH EUCLID AVE.
SUITE G
ST. LOUIS
MO
631083808
Practice Location Phone/Fax
| Phone: | 3143677711 |
| Fax: | 3143670177 |
Provider Mailing Location
10 SOUTH EUCLID AVE.
SUITE G
ST. LOUIS
MO
631083808
Provider Mailing Phone/Fax
| Phone: | 3143677711 |
| Fax: | 3143670177 |