NPI 1104466739

Heather Dawn Bourassa, CCCSLP

Practitioner Speech-Language Pathologist Florissant, MO

Practice location

Address: 15875 New Halls Ferry Rd, Florissant, MO 63031-1225
Phone: (314) 953-5400
Mailing address: 2622 Gurney CT, Saint Louis, MO 63110-3416

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2019045240 (MO)

Other Speech-Language Pathologist providers in Missouri →

Registry record

NPI: 1104466739
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2020
Record last updated: 11 Jan 2020

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.