NPI | 1952328742 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLIE R. ALLEN Owner/Speech Language Pathologist 618-401-2648 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004755) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2020-08-22 |