Doctor Name: | AMY ANESTON |
NPI Number: | 1730556226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.H.S., CCC-SLP |
License Number: | 146.012312 |
Business Practice Address: | 1864 High Grove Ln Ste 122 Naperville, IL - 605409213 |
Business Phone Number: | 7084781820 |
Business Fax Number: | |
Mailing Address: | 12641 W Quails Roost Dr, NEW LENOX |
State: | IL |
Postal Code: | 604513753 |
Phone Number: | 7083749167 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2015 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.012312 |
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 |