Doctor Name: | MISS JOANNA C PACOCHA |
NPI Number: | 1235430885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP-L |
License Number: | 146005503 |
Business Practice Address: | 3703 W Lake Ave Suite 200 Glenview, IL - 600261223 |
Business Phone Number: | 8479981188 |
Business Fax Number: | |
Mailing Address: | 3703 W Lake Ave, Suite 200 GLENVIEW |
State: | IL |
Postal Code: | 600261223 |
Phone Number: | 8479981188 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2010 |
NPI Last Update Date: | 11/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146005503 |
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 |