Doctor Name: | ELIZABETH FORSBERG |
NPI Number: | 1730351842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146004765 |
Business Practice Address: | 101 N. Walnut Pinckneyville Community Hospital Pinckneyville, IL - 622741034 |
Business Phone Number: | 6183572187 |
Business Fax Number: | 6183576336 |
Mailing Address: | 202 S Brook Ln, CARBONDALE |
State: | IL |
Postal Code: | 629012302 |
Phone Number: | 6185496773 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146004765 |
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 |