Individual
MS. JENNIFER JOY MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
615 S NEW BALLAS RD, STE. 385A, SAINT LOUIS, MO 63141-8221
(314) 251-5850
(314) 251-6818
Mailing address
615 S NEW BALLAS RD, STE. 385A, SAINT LOUIS, MO 63141-8221
(314) 251-5850
(314) 251-6818
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002117
NY
231H00000X
Audiologist
Primary
2012033707
MO
231H00000X
Audiologist
23002425A
IN
Other
Enumeration date
11/02/2006
Last updated
02/08/2013
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