Individual provider · Type 1 NPI

Lara Buck Antolik, SLP

Speech-Language Pathologist · St. Louis, MO

NPI number 1366073629 Active

Practice location

4455 Duncan Ave, Dept Physical Therapy
St. Louis, MO 63110-1111

Fax (314) 286-1473

Mailing address

4444 Forest Park Ave, Cb 8502
St. Louis, MO 63108-2212

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2015033921 (MO)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1366073629

Lara Buck Antolik, SLP's National Provider Identifier is 1366073629, issued on Jan 27, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2021.