| NPI | 1205444635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANNE CROTTY Speech Language Pathologist 708-253-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |