Doctor Name: | STEVIE BOBBITT |
NPI Number: | 1760812754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 146010665 |
Business Practice Address: | 2423 Glenwood Ave Joliet, IL - 604355483 |
Business Phone Number: | 8157259995 |
Business Fax Number: | 8157259993 |
Mailing Address: | 312 Marco Dr, RANTOUL |
State: | IL |
Postal Code: | 618663464 |
Phone Number: | 2173900439 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2013 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146010665 |
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 |