Individual
JESSICA GERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009267
IL
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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