Archway, INC.
Speech-Language Pathologist, in Carbondale, IL. Organization (NPI-2).
NPI number1720114788
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1720114788
- Entity type
- Organization (NPI-2)
- Legal business name
- Archway, INC.
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
2751 W Main StCarbondale, IL 62901-1000
Phone 618-529-5944 · Fax 618-529-5785
Mailing address
Po Box 1180Carbondale, IL 62903-1180
Phone 618-529-5944
Authorized official
Deanna Cruse
Executive Director
6185295944
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