Doctor Name: | KRISTEN BOOK |
NPI Number: | 1417204181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 146011141 |
Business Practice Address: | 1045 W Stephenson St Freeport, IL - 610324864 |
Business Phone Number: | 8155996309 |
Business Fax Number: | 8155996384 |
Mailing Address: | Po Box 857, FREEPORT |
State: | IL |
Postal Code: | 610320857 |
Phone Number: | 8155997950 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146011141 |
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 |