Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Gandolfo

Organization Early Intervention Provider Agency · NPI 1710349642

Jennifer Gandolfo is an Early Intervention Provider Agency in Lake St Louis, Missouri. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

710 Abbottsford Ct
Lake St Louis, MO 63367
Phone: (314) 479-0306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1710349642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Gandolfo — Occupational Therapist · (314) 440-8985
NPI enumeratedMarch 21, 2016
Last updated in NPPESMarch 21, 2016
Mailing address710 Abbottsford Ct., Lake St. Louis, MO 63367