Spot Providers
Speech-Language Pathologist, in Barry, IL. Organization (NPI-2).
NPI number1982114708
StatusActive
Last updated in NPPESOct 6, 2017
Details
- NPI
- 1982114708
- Entity type
- Organization (NPI-2)
- Legal business name
- Spot Providers
- Organization subpart
- No
- Enumeration date
- Oct 6, 2017
- Last updated
- Oct 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146010297 | IL | Yes |
Practice location
6 Orchard DrBarry, IL 62312
Phone 217-577-4637
Mailing address
6 Orchard DrBarry, IL 62312
Phone 217-577-4637
Authorized official
Christine Ann Nation
Speech-Language Pathologist
2175774637
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