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

Individual provider Speech-Language Pathologist · NPI 1215487921

Jaclyn Bolzenius, MA is a Speech-Language Pathologist in Creve Coeur, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

10560 Old Olive Street Rd Ste 100
Creve Coeur, MO 63141-5916
Phone: (314) 567-4707
Fax: (314) 567-4505
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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 2016020606 (MO)

Record details

NPI number1215487921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016

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