| NPI | 1255514543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANDERSON Speech Therapist 618-520-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004463) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |