Doctor Name: | MS. JENNY ANN POTANOS |
NPI Number: | 1619193398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 1n031 Coventry Dr Carol Stream, IL - 601884522 |
Business Phone Number: | 6305108021 |
Business Fax Number: | 6308711845 |
Mailing Address: | 1n031 Coventry Dr, CAROL STREAM |
State: | IL |
Postal Code: | 601884522 |
Phone Number: | 6305108021 |
Fax Number: | 6308711845 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
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 |