Doctor Name: | MRS. CORINNE ANN PURISKI |
NPI Number: | 1659495034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | |
Business Practice Address: | 350 Houbolt Rd Suite 101 Joliet, IL - 604318305 |
Business Phone Number: | 8157259992 |
Business Fax Number: | 8157259993 |
Mailing Address: | 24118 S Indian Trl, MANHATTAN |
State: | IL |
Postal Code: | 604428435 |
Phone Number: | 8154780471 |
Fax Number: | 8154780481 |
NPI Enumeration Date: | 03/19/2007 |
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 |