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NPI Code Detail

MEDICARE: JORDAN CHRISTINE FERRARA M.S., CCC-SLP

MEDICARE: JORDAN CHRISTINE FERRARA M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14439780MO

General Provider Information

NPI Number : 1780467159
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN CHRISTINE FERRARA M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2951 SUNRISE DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-5236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4624 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-1523
Country : US
Telephone Number : 314-351-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/21/2023

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Directions to “ JORDAN CHRISTINE FERRARA M.S., CCC-SLP” Practice Location

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