Jeffrey Stuart Damerall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020035169 Issued in MO

Practice address

5910 Clifton Ave
Saint Louis, MO 63109-3407

Phone

(314) 352-1043

Fax

(314) 352-3685

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1033885488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 TRAVELLA CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111547",
            "telephone_number": "314-853-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLIFTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093407",
            "telephone_number": "314-352-1043",
            "fax_number": "314-352-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERALL",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020035169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Daly-Burchett
• Tracey M Daly-Wilson, MD
• Kristin Marie Daly, ANP
• Zoe Dalziel
• Kara Michelle Daman, SLP/CCC
• Syriah Shawnteese Dameron
• Sara Dames
• Kristen Jean Damian, MSW
• Diane Louise Damiano, PHD PT
• Ralph James Damiano Jr., MD

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.