| Doctor Name: | DR. TINA KATHALEEN VEALE |
| NPI Number: | 1457532160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., CCC-SLP |
| License Number: | SP-2536 |
| Business Practice Address: | 3450 Lacey Road Midwestern University Multispecialty Clinic Downers Grove, IL - 60515 |
| Business Phone Number: | 6307434500 |
| Business Fax Number: | |
| Mailing Address: | 712 Greenwood Dr, WHEATON |
| State: | IL |
| Postal Code: | 601896235 |
| Phone Number: | 2172186683 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2007 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP-2536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| 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 |