Individual
JACKLYN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
(636) 898-8500
Mailing address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025032930
MO
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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