Provider Demographics
NPI:1679922660
Name:GASSER, KRYSTA LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTA
Middle Name:LYNN
Last Name:GASSER
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 1:10097 MANCHESTER RD
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-1828
Mailing Address - Country:US
Mailing Address - Phone:314-394-1911
Mailing Address - Fax:314-735-4165
Practice Address - Street 1:10097 MANCHESTER RD
Practice Address - Street 2:SUITE 102A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-1828
Practice Address - Country:US
Practice Address - Phone:314-394-1911
Practice Address - Fax:314-735-4165
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist