Doctor Name: | MRS. JULIE M PRELLWITZ-BENDING |
NPI Number: | 1720135940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS., SLP-CCC |
License Number: | 2062-154 |
Business Practice Address: | 18836 Meadow Grass Dr Lake Villa, IL - 600466757 |
Business Phone Number: | 8476502925 |
Business Fax Number: | 8472651945 |
Mailing Address: | 18836 Meadow Grass Dr, LAKE VILLA |
State: | IL |
Postal Code: | 600466757 |
Phone Number: | 8476502925 |
Fax Number: | 8472651945 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2062-154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |