Doctor Name: | MRS. TINTU ELSA ABRAHAM |
NPI Number: | 1003153925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSC |
License Number: | 242.002533 |
Business Practice Address: | 2423 Glenwood Ave Joliet, IL - 604355483 |
Business Phone Number: | 8157259992 |
Business Fax Number: | 8157259993 |
Mailing Address: | 1311 Boston Ave, JOLIET |
State: | IL |
Postal Code: | 604354099 |
Phone Number: | 7793790156 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.002533 |
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 |