Doctor Name: | MS. KERRY O'LEARY |
NPI Number: | 1194021451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146.010140 |
Business Practice Address: | 2907 Williamson County Pkwy Marion, IL - 629595256 |
Business Phone Number: | 6189989894 |
Business Fax Number: | 6189989993 |
Mailing Address: | 4185 Lakeside Dr, PINCKNEYVILLE |
State: | IL |
Postal Code: | 622743119 |
Phone Number: | 6183573378 |
Fax Number: | 6189989993 |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.010140 |
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 |