Individual
DR. JENNIFER MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1390 HIGHWAY 61 SOUTH, CRYSTAL CITY, MO 63019-0350
(636) 933-1606
(636) 933-1871
Mailing address
PO BOX 350, 1390 HIGHWAY 61-67 SOUTH, CRYSTAL CITY, MO 63019-0350
(636) 933-1606
(636) 933-1871
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
103567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103567
STATE OF MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
07/09/2008
Last updated
01/13/2009
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