Individual
MS. JENNIFER CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(319) 989-8100
Mailing address
4441 LACLEDE AVE, SAINT LOUIS, MO 63108-2203
(314) 609-0949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112139
MO
Other
Enumeration date
03/08/2007
Last updated
10/11/2019
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