Provider Demographics
NPI:1801005434
Name:EDUCATIONAL TUTORING
Entity Type:Organization
Organization Name:EDUCATIONAL TUTORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMISHA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-921-8886
Mailing Address - Street 1:3837 VAILE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2210
Mailing Address - Country:US
Mailing Address - Phone:314-921-8886
Mailing Address - Fax:
Practice Address - Street 1:625 N EUCLID AVE
Practice Address - Street 2:SUITE 445
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1660
Practice Address - Country:US
Practice Address - Phone:314-361-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty