Doctor Name: | REBECCA J ANDERSON |
NPI Number: | 1306178504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 146.010132 |
Business Practice Address: | 5150 Northwest Highway Crystal Lake, IL - 60014 |
Business Phone Number: | 8154559800 |
Business Fax Number: | 8154559359 |
Mailing Address: | 430 N Wilke Road #106, PALATINE |
State: | IL |
Postal Code: | 60074 |
Phone Number: | 8474522770 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.010132 |
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 |