Doctor Name: | JEANNE DILLAPLAIN |
NPI Number: | 1194949255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | 146-001035 |
Business Practice Address: | 2810 Frank Scott Pkwy W Ste 824 Belleville, IL - 622235007 |
Business Phone Number: | 6182349705 |
Business Fax Number: | 6182570665 |
Mailing Address: | 2810 Frank Scott Pkwy W, Ste 824 BELLEVILLE |
State: | IL |
Postal Code: | 622235007 |
Phone Number: | 6182349705 |
Fax Number: | 6182570665 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146-001035 |
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 |