Individual
MRS. JILL MARIE BERTELSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 898-8100
Mailing address
1258 FENTON MEADOW CT, FENTON, MO 63026-2309
(314) 650-7796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012040532
MO
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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