Provider Demographics
NPI:1538048616
Name:MYERS, SUMMER ELIZABETH (AUD)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:ELIZABETH
Last Name:MYERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12422 LIGHTHOUSE WAY DR APT E
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6476
Mailing Address - Country:US
Mailing Address - Phone:317-903-9068
Mailing Address - Fax:
Practice Address - Street 1:14222 LADUE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3324
Practice Address - Country:US
Practice Address - Phone:314-384-8088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025037338231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist