NPI | 1083825111 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA ANN DEER President Speech Pathologist 773-619-2602 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003346) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006158) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |