Doctor Name: | DR. JILL E SENNER |
NPI Number: | 1043526510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 146.005507 |
Business Practice Address: | 820 North Blvd Oak Park, IL - 603011351 |
Business Phone Number: | 8476821596 |
Business Fax Number: | |
Mailing Address: | 641 N Humphrey Ave, OAK PARK |
State: | IL |
Postal Code: | 603021707 |
Phone Number: | 8476821596 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2010 |
NPI Last Update Date: | 02/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.005507 |
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 |