Organization Name: | CENTRAL SPEECH AND LANGUAGE CLINIC, INC. |
NPI Number: | 1265556534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN M GONZALEZ (VICE-PRESIDENT) |
Mailing Address: | 4160 Il Route 83 Suite 101 Long Grove |
State: | IL US |
Postal Code: | 600475083 |
Phone Number: | 8478211237 |
Fax Number: | 8472762743 |
NPI Enumeration Date: | 03/19/2007 |
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: | |
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 |