| NPI | 1952058760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEY SERENA Speech Language Pathologist/Owner 815-474-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |