Kaide Jackstadt
NPI #1942743703 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1942743703
- Entity Type
- Individual
- Name
- Kaide Jackstadt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 28, 2016
- Last Updated
- Nov 28, 2016
Practice Location
- Address
- 93 S MAIN ST
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1413
- Phone
- (618) 420-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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