Doctor Name: | RHIANNON AMBER DURAN |
NPI Number: | 1003162991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP/L |
License Number: | 146.010658 |
Business Practice Address: | 2500 175th St Lansing, IL - 604381801 |
Business Phone Number: | 7084747330 |
Business Fax Number: | |
Mailing Address: | 1917 Wespark Ave, WHITING |
State: | IN |
Postal Code: | 463941523 |
Phone Number: | 2192921168 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2012 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.010658 |
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 |