Doctor Name: | KATIE TEBRUGGE |
NPI Number: | 1003060476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 146008914 |
Business Practice Address: | 606 N Michigan St Elmhurst, IL - 601261934 |
Business Phone Number: | 6305308551 |
Business Fax Number: | 6305305909 |
Mailing Address: | 606 N Michigan St, ELMHURST |
State: | IL |
Postal Code: | 601261934 |
Phone Number: | 6305308551 |
Fax Number: | 6305305909 |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146008914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |