NPI | 1497923767 |
---|---|
Doing Business As | SPEECH-LANGUAGE PATHOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | CLARION MENDES Director Of Clinical Education 217-333-2205 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003459) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008043) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146004209) | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146000794) | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146005525) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2019-08-27 |