Amelia Louise Glass, M.S, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Lake Saint Louis, MO
NPI 1265728018 · NPPES record last updated Jun 21, 2011
Key facts
- NPI
- 1265728018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2010038790 (MO)
- Practice address
- 2 Harbor Bend CT
Suite 102
Lake Saint Louis, MO 63367-1478 - Phone
- (636) 695-2095
- Fax
- (636) 695-2080
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010038790 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2010038790 | MO | Yes |
Addresses
Primary practice location
2 Harbor Bend CT
Suite 102
Lake Saint Louis, MO 63367-1478
Mailing address
2 Harbor Bend CT
Suite 102
Lake Saint Louis, MO 63367-1478
Phone (636) 695-2095
Other providers in Lake Saint Louis, MO
- Terri Zamberlan Frank
- Donna Lynette Gaffney
- Garner Counseling Service LLC
- Sarah Suzette Geatley
- Shauna Clark Gilbert
- Vicky Lynn Glass
- Amanda Gonzales
- Greater Reach Speech LLC
- Gushleff Healthcare, Inc.
- Jason Gutting
All providers in Lake Saint Louis, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.