Doctor Name: | MS. JILL MARGARET VANHAAREN |
NPI Number: | 1285891861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 22003193A |
Business Practice Address: | 800 Saint Joseph Dr Kokomo, IN - 469011983 |
Business Phone Number: | 7652361239 |
Business Fax Number: | |
Mailing Address: | 995 Morse Landing Dr, CICERO |
State: | IN |
Postal Code: | 460349577 |
Phone Number: | 3179841779 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003193A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |