| NPI | 1518345651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA JOSEPHINE TUNGET Speech Language Pathologist 618-534-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146011064) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |