Doctor Name: | MRS. JODI JULIA WALKER |
NPI Number: | 1679695704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 01136101 |
Business Practice Address: | 135 N Harvey Ave Oak Park, IL - 603022622 |
Business Phone Number: | 9176207916 |
Business Fax Number: | |
Mailing Address: | 135 N Harvey Ave, OAK PARK |
State: | IL |
Postal Code: | 603022622 |
Phone Number: | 9176207916 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01136101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |