Doctor Name: | CHRISTINE SPANHOOK |
NPI Number: | 1023022498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.T. |
License Number: | 146-008521 |
Business Practice Address: | 530 Ne Glen Oak Ave Peoria, IL - 616370001 |
Business Phone Number: | 3096556961 |
Business Fax Number: | 3096556472 |
Mailing Address: | 530 Ne Glen Oak Ave, PEORIA |
State: | IL |
Postal Code: | 616370001 |
Phone Number: | 3096552000 |
Fax Number: | 3096557869 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146-008521 |
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 |