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MS. LARA BUCK ANTOLIK SLP
NPI 1366073629
Speech-Language Pathologist in Saint Louis, MO

Active since January 27, 2020
4455 DUNCAN AVE, DEPT PHYSICAL THERAPY, SAINT LOUIS, MO 63110(314) 286-1940(314) 286-1473 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Jan 27, 2020 (3 updates tracked since 2020).

About Ms. Lara Buck Antolik Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LARA BUCK ANTOLIK SLP (NPI 1366073629) is an individual speech-language pathologist provider in Saint Louis, Missouri, licensed in Missouri (2015033921) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1366073629
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. LARA BUCK ANTOLIKCredential: SLP
Location Address4455 DUNCAN AVE, DEPT PHYSICAL THERAPYSaint Louis, MO 63110-1111
Mailing Address4444 Forest Park Ave, Cb 8502Saint Louis, MO 63108-2212 · (314) 286-1940 · Fax (314) 747-7044
Phone(314) 286-1940
Fax(314) 286-1473
Sole ProprietorNo
Enumeration DateJanuary 27, 2020
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2020
✔ NPI 1366073629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MO · 2015033921
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4455 DUNCAN AVE, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid460090762MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY ANDERSON OT
Occupational Therapist
4455 DUNCAN AVE
SAINT LOUIS, MO 63110
St. Louis City (605) 610-5617
KATHRYN L ENGEL MS, CCC-SLP, CBIS
Speech-Language Pathologist
4455 DUNCAN AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 658-3929
MS. CHRISTINE FORTNEY LCSW, CCM
Social Worker (Clinical)
4455 DUNCAN AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 658-3800
DR. TULSI MANOJ PANDAT MD
Physical Medicine & Rehabilitation
4455 DUNCAN AVE, DIV ORTHO SURGERY NEUROREHAB
SAINT LOUIS, MO 63110
St. Louis City (314) 514-3500
GATEWAY HOSPITALIST PC
Internal Medicine
4455 DUNCAN AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 658-3800
MS. CYNTHIA A BROWN FNP
Nurse Practitioner
4455 DUNCAN AVE, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 658-3800
DR. MICHAEL ANTHONY BOEVING MD
Physical Medicine & Rehabilitation
4455 DUNCAN AVE, DIV ORTHO SURGERY NEUROREHAB
SAINT LOUIS, MO 63110
St. Louis City (314) 514-3500
SARAH KENNY PA
Physician Assistant
4455 DUNCAN AVE
SAINT LOUIS, MO 63110
St. Louis City (972) 322-5695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Antolik's NPI number?

The NPI number for Lara Antolik is 1366073629. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Lara Antolik located?

Lara Antolik practices at 4455 Duncan Ave Dept Physical Therapy, Saint Louis, MO 63110. The listed phone number is (314) 286-1940.

What is Lara Antolik's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lara Antolik was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.