Organization Name: | CHILDHOOD POTENTIALS INC. |
NPI Number: | 1588673602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE ANN HOWARD (SPEECH PATHOLOGIST, PRESIDENT) |
Mailing Address: | 101 Old Farm Middle Ct Bradley |
State: | IL US |
Postal Code: | 609151485 |
Phone Number: | 8159324812 |
Fax Number: | 8159369077 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |