Provider Demographics
NPI:1699559864
Name:KREBS, AMY E
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:KREBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 KETTINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7325
Mailing Address - Country:US
Mailing Address - Phone:314-703-2175
Mailing Address - Fax:
Practice Address - Street 1:2000 ELM ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-1750
Practice Address - Country:US
Practice Address - Phone:636-443-4500
Practice Address - Fax:636-443-4501
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist