Organization Name: | THERAPEDS, LTD. |
NPI Number: | 1366637845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLENE A LAURSEN (PRESIDENT/SPEECH LANGUAGE PATHOLOGI) |
Mailing Address: | 932 N Wright St Ste 128 Naperville |
State: | IL US |
Postal Code: | 605633601 |
Phone Number: | 6303050593 |
Fax Number: | 6303050683 |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |