Provider Demographics
NPI:1245705730
Name:SCHLUETER, LAURA ELLEN (MS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELLEN
Last Name:SCHLUETER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:ELLEN
Other - Last Name:SHEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1445 S 18TH ST APT 216
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-2562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6543 CHIPPEWA ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-4114
Practice Address - Country:US
Practice Address - Phone:314-647-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
MO2022010438235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist