NPI 1194258467

Blue Stars Therapy, LLC

Organisation Early Intervention Provider Agency Saint Louis, MO

Practice location

Address: 1101 Edward Ter APT a, Saint Louis, MO 63117-1520
Phone: (314) 650-9288

Authorised official

Name: Bridget Mary Hormberg
Title: Co-Owner/Co-Founder
Phone: (314) 650-9288

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 2014027319 (MO)

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Registry record

NPI: 1194258467
Entity type: Organization
NPI issued: 4 Apr 2017
Record last updated: 4 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.