Demetra Lee Stavropoulos, MS, CCC-SLP
Speech-Language Pathologist, in Chicago, IL. Individual provider (NPI-1).
NPI number1093416331
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1093416331
- Entity type
- Individual (NPI-1)
- Name
- Demetra Lee Stavropoulos
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2023
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1422 W Willow St Ste 101Chicago, IL 60642-8977
Phone 312-399-0370
Mailing address
1422 W Willow St Ste 101Chicago, IL 60642-8977
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