Doctor Name: | AMY A ANDERECK |
NPI Number: | 1588676647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-CCC/SLP |
License Number: | 146.002258 |
Business Practice Address: | 12408 S Hobart St Palos Park, IL - 604641754 |
Business Phone Number: | 7084483637 |
Business Fax Number: | 7084484610 |
Mailing Address: | 12408 S Hobart St, PALOS PARK |
State: | IL |
Postal Code: | 604641754 |
Phone Number: | 7084483637 |
Fax Number: | 7084484610 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.002258 |
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 |