Doctor Name: | MS. JENNIFER L. ACEVEDO |
NPI Number: | 1164680419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP/L |
License Number: | 146.008275 |
Business Practice Address: | 3 Erie Ct Suite 6120 Oak Park, IL - 603022519 |
Business Phone Number: | 7087631320 |
Business Fax Number: | 7087631304 |
Mailing Address: | 8525 W Catherine Ave, Unit 373 CHICAGO |
State: | IL |
Postal Code: | 606562920 |
Phone Number: | 7733990384 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.008275 |
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 |