Most Relevant Information
Provider Data
| NPI Number: | 1003458761 |
| Provider Name: | JAMIE EISENBEIS MHS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2017030048 |
Most Important Dates
| Enumeration Date: | 10/15/2019 |
| Last Updated: | 10/15/2019 |
Provider Practice Location
3115 S GRAND BLVD STE 224
SAINT LOUIS
MO
631181047
Practice Location Phone/Fax
| Phone: | 3143122357 |
| Fax: |
Provider Mailing Location
6038 HANCOCK AVE
SAINT LOUIS
MO
631391920
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |