Organization Name: | GOLD STAR SPEECH THERAPY, P.C. |
NPI Number: | 1376663484 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AIMEE L STREICHER (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 236 Berkshire Ln Sugar Grove |
State: | IL US |
Postal Code: | 605549479 |
Phone Number: | 6306059391 |
Fax Number: | 6304663735 |
NPI Enumeration Date: | 03/30/2007 |
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: | 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 |