| Organization Name: | TERESA M CECIL |
| NPI Number: | 1215101100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA MARIE CECIL (OWNER SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 2600 Wilshire Ave West Lafayette |
| State: | IN US |
| Postal Code: | 479061571 |
| Phone Number: | 7654140157 |
| Fax Number: | 7654970363 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22001428A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |