Individual
JAMIE NIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 LINDELL BLVD APT 217, SAINT LOUIS, MO 63108-2984
(435) 799-4663
Mailing address
40 S 100 E APT 2, HYDE PARK, UT 84318-3207
(435) 799-4663
(435) 514-5383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015033016
MO
Other
Enumeration date
05/23/2016
Last updated
03/15/2023
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