Diane Schaffer-Vandenborre
Speech-Language Pathologist, in Princeton, IL. Individual provider (NPI-1).
NPI number1124530571
StatusActive
Last updated in NPPESOct 25, 2017
Details
- NPI
- 1124530571
- Entity type
- Individual (NPI-1)
- Name
- Diane Schaffer-Vandenborre
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2017
- Last updated
- Oct 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146000401 | IL | Yes |
Practice location
121 N Knox StPrinceton, IL 61356-1616
Phone 815-626-3300 · Fax 815-626-3300
Mailing address
121 N Knox StPrinceton, IL 61356-1616
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