NPI | 1992828727 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY HEISSLER Learning Specialist 309-663-8770 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007783) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2020-08-22 |