Organization Name: | FAMILY FIRST THERAPIES, LLC |
NPI Number: | 1043504475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN RUNTY (PRESIDENT) |
Mailing Address: | 2035 Fescue Dr Aurora |
State: | IL US |
Postal Code: | 605044308 |
Phone Number: | 6304053450 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2011 |
NPI Last Update Date: | 06/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.010512 |
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 |