| Organization Name: | UNIVERSITY OF NORTHERN IOWA ROY EBLEN SPEECH AND HEARING CLINIC |
| NPI Number: | 1235466301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA KOURI (CLINIC DIRECTOR) |
| Mailing Address: | 1555 W 27th St 230 Communication Arts Center Cedar Falls |
| State: | IA US |
| Postal Code: | 506140356 |
| Phone Number: | 3192732542 |
| Fax Number: | 3192736384 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 11/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 00842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| 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 |