Doctor Name: | CELESTE R KOBULNICKY |
NPI Number: | 1134178528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 146.000184 |
Business Practice Address: | 4255 Westbrook Dr Suite 208 Aurora, IL - 605048125 |
Business Phone Number: | 6308982823 |
Business Fax Number: | 6308988423 |
Mailing Address: | 4255 Westbrook Dr, Suite 208 AURORA |
State: | IL |
Postal Code: | 605048125 |
Phone Number: | 6308982823 |
Fax Number: | 6308988423 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.000184 |
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 |