| 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 |