Doctor Name: | MISS REBECCA JOY TRAEN |
NPI Number: | 1225146152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | |
Business Practice Address: | 5th Ave. & Roosevelt Road Hines, IL - 60141 |
Business Phone Number: | 7082028387 |
Business Fax Number: | |
Mailing Address: | 1856 Michigan Ave Apt 212, NAPERVILLE |
State: | IL |
Postal Code: | 605639285 |
Phone Number: | 6303622888 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |