Doctor Name: | MISS MARIA ANN MIGNONE |
NPI Number: | 1396027850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP/L |
License Number: | 146009815 |
Business Practice Address: | 404 E Main St Upstairs Apt. Granville, IL - 613269507 |
Business Phone Number: | 8155798740 |
Business Fax Number: | |
Mailing Address: | 404 1/2 E. Main St., GRANVILLE |
State: | IL |
Postal Code: | 613260053 |
Phone Number: | 8155798740 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146009815 |
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 |