NPI | 1144068065 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELYNAH ANDEREGG Owner/Slp 815-570-9347 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-07-16 |