Organization Name: | CLEARBROOK |
NPI Number: | 1487742904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA L DEVITO (DIRECTOR OF CHILDREN SERVICES) |
Mailing Address: | 3705 Pheasant Dr Rolling Meadows |
State: | IL US |
Postal Code: | 600082634 |
Phone Number: | 8473922812 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 10/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.005650 |
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 |