Individual
MRS. JILL RENEE BUNDSCHUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 677-1238
(314) 863-0769
Mailing address
2517 MENTOR PL, SAINT LOUIS, MO 63144-2129
(314) 236-1062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001005569
MO
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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