NPI | 1700390580 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA KOSTNER-NICHOLSON Owner 847-370-3710 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001768) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |