Individual
MRS. JENNIFER LYNN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
317 SCHOOL ST, O FALLON, MO 63366-2824
(636) 474-8437
Mailing address
317 SCHOOL ST, O FALLON, MO 63366-2824
(636) 474-8437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008018171
MO
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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