| NPI | 1801247234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KERR Owner/Speech Language Pathologist 309-745-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-07-21 |