Provider Demographics
NPI:1962522763
Name:DEAF SERVICES 2004, LLC
Entity type:Organization
Organization Name:DEAF SERVICES 2004, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-229-2922
Mailing Address - Street 1:10537 STEPHENSON DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-1238
Mailing Address - Country:US
Mailing Address - Phone:314-229-2922
Mailing Address - Fax:314-849-1066
Practice Address - Street 1:10537 STEPHENSON DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-1238
Practice Address - Country:US
Practice Address - Phone:314-229-2922
Practice Address - Fax:314-849-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999137062171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty