Doctor Name: | ANDREW WEBB |
NPI Number: | 1205200482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1301 Pyott Rd Suite 109 Lake In The Hills, IL - 601569794 |
Business Phone Number: | 8478290922 |
Business Fax Number: | 8472326526 |
Mailing Address: | 1301 Pyott Rd, Suite 109 LAKE IN THE HILLS |
State: | IL |
Postal Code: | 601569794 |
Phone Number: | 8478290922 |
Fax Number: | 8472326526 |
NPI Enumeration Date: | 11/25/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |