Doctor Name: | MS. PAMELA LOU CHMIELEWSKI |
NPI Number: | 1144572751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP/L |
License Number: | 2010007565 |
Business Practice Address: | 1750 S Fairview Ave Decatur, IL - 625214059 |
Business Phone Number: | 2174292991 |
Business Fax Number: | 2174226453 |
Mailing Address: | 520 N Cottage St, TAYLORVILLE |
State: | IL |
Postal Code: | 625681502 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/05/2012 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2010007565 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |