Gina T Randolph
Gina T Randolph is a Speech-Language Pathologist in Lake St Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
1000 Ronald Reagan DrLake St Louis, MO 63367-2659
Phone: (636) 625-5600
Fax: (636) 625-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 0379106 (MO) |
|---|
Record details
| NPI number | 1023235306 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1 Campus Dr, Wentzville, MO 63385-3415 |
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