Doctor Name: | MS. JUDY ANN STREY |
NPI Number: | 1285838458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 701 W Lamm Rd Freeport, IL - 610329630 |
Business Phone Number: | 8152336162 |
Business Fax Number: | 8152336167 |
Mailing Address: | 2556 W Lone St, ELIZABETH |
State: | IL |
Postal Code: | 610289465 |
Phone Number: | 8158582325 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
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 |