Doctor Name: | OLIVIA STANDA |
NPI Number: | 1588082283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 242.002805 |
Business Practice Address: | 420 W Butterfield Rd Elmhurst, IL - 601264980 |
Business Phone Number: | 6308322300 |
Business Fax Number: | |
Mailing Address: | 508 Ravine Ave, LAKE BLUFF |
State: | IL |
Postal Code: | 600442622 |
Phone Number: | 8474946384 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.002805 |
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 |