NPI | 1942620489 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH A DEITER Speech Language Pathologist 224-409-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2014-04-23 |
Last Update Date | 2017-09-20 |