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

Jordan Douglas

Individual provider Speech-Language Pathologist · NPI 1790332518

Jordan Douglas is a Speech-Language Pathologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019

Practice location Address checks out

12110 Clayton Rd
Saint Louis, MO 63131-2516
Phone: (314) 989-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2019021612 (MO)

Record details

NPI number1790332518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address9743 Guehring Dr, Saint Louis, MO 63123-7123

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