Doctor Name: | MRS. TRUDY HELEN LAZARUS |
NPI Number: | 1699163998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2014025148 |
Business Practice Address: | 3488 Jeffco Blvd Ste.102 Arnold, MO - 630106015 |
Business Phone Number: | 6364645439 |
Business Fax Number: | 6364645438 |
Mailing Address: | 3488 Jeffco Blvd, Ste.102 ARNOLD |
State: | MO |
Postal Code: | 630106015 |
Phone Number: | 6364645439 |
Fax Number: | 6364645438 |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2014025148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |