NPI | 1659888931 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH SONGER Owner/Speech Language Pathologist 217-549-4507 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.0009085) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2018-01-08 |
Last Update Date | 2018-01-08 |