Individual
JENA ELYCE TEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
10332 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5922
(314) 567-4707
Mailing address
1211 FERNLEAF DR, SAINT LOUIS, MO 63126-1421
(330) 401-4905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021018665
MO
Other
Enumeration date
06/03/2021
Last updated
07/25/2024
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