Kathleen G Luster Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1134351943
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 111928 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-08-12
- Last updated
- 2010-08-24
Practice location
15 Folk Art Ct
O Fallon, MO 63366-8488
(636) 240-9826