IndividualActive
Gina Randolph
NPI 1023235306 · Speech-Language Pathologist · Lake St Louis, MO
Provider details
- NPI number
- 1023235306
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0379106 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1000 Ronald Reagan Dr
Lake St Louis, MO 63367-2659
Phone: (636) 625-5600
Fax: (636) 625-5610
Approximate (ZIP-level) locationGet directions
Mailing address
1 Campus Dr
Wentzville, MO 63385-3415
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.