Speech Therapy Source, P.C.
Speech-Language Pathologist, in Arlington Heights, IL. Organization (NPI-2).
NPI number1881743789
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1881743789
- Entity type
- Organization (NPI-2)
- Legal business name
- Speech Therapy Source, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146.008252 | IL | Yes |
Practice location
202 S Dunton AveArlington Heights, IL 60005-1904
Phone 847-997-4672 · Fax 847-259-7794
Mailing address
202 S Dunton AveArlington Heights, IL 60005-1904
Phone 847-997-4672 · Fax 847-259-7794
Authorized official
Peter T Lyon
Speech Language Pathologist
8479974672
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