Jordan Nicole Klinckhardt Valid NPI

Individual provider · Speech-Language Pathologist · O Fallon, MO

NPI

1154790939

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

2015033486 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2015-09-22

Last updated

2015-09-22