Doctor Name: | TERESA JOERGER DAVIS |
NPI Number: | 1447555180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 146005409 |
Business Practice Address: | 1515 E Lake St Hanover Park, IL - 601334869 |
Business Phone Number: | 8473662417 |
Business Fax Number: | |
Mailing Address: | 1515 E Lake St, HANOVER PARK |
State: | IL |
Postal Code: | 601334869 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2011 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146005409 |
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 |