MIRANDA ELISE KIFFMEYER SLPA
NPI 1255167680
Specialist/Technologist - Speech-Language Assistant in Saint Louis, MO
Active since September 11, 2024
About Miranda Elise Kiffmeyer Slpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRANDA ELISE KIFFMEYER SLPA (NPI 1255167680) is an individual speech-language assistant in Saint Louis, Missouri, licensed in Missouri (2024036960) and active in the NPI registry since September 2024. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1255167680
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameMIRANDA ELISE KIFFMEYERCredential: SLPA
Location Address3716 MORGANFORD RDSaint Louis, MO 63116-1615
Mailing Address4616 Storeyland DrAlton, IL 62002-5800
Phone(618) 698-4680
Sole ProprietorNo
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1255167680 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in MO · 2024036960
3716 MORGANFORD RD, Saint Louis, MO 63116
Secondary Practice Locations 2
Location 12617 Shenandoah AveSaint Louis, MO 63104-2311 · Phone (618) 698-4680
Location 22900 S Grand BlvdSaint Louis, MO 63118-1005 · Phone (618) 698-4680
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255167680, enumerated as an "individual" on September 11, 2024.
The provider is located at 3716 MORGANFORD RD SAINT LOUIS, MO 63116 and the phone number is (618) 698-4680.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.