Organization Name: | TDD THERAPY SOLUTIONS, INC |
NPI Number: | 1316317746 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY DAWN DUCEY (SPEECH/LANGUAGE PATHOLOGIST; OWNER) |
Mailing Address: | 3301 Greenbriar Ave Godfrey |
State: | IL US |
Postal Code: | 620353236 |
Phone Number: | 6185809071 |
Fax Number: | 6184661015 |
NPI Enumeration Date: | 09/28/2015 |
NPI Last Update Date: | 09/28/2015 |
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 |