Individual
JORDYN RICHAE TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
3533 DUNN RD STE 232, FLORISSANT, MO 63033-6761
(314) 839-0002
Mailing address
3533 DUNN RD STE 232, FLORISSANT, MO 63033-6761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021005389
MO
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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