Doctor Name: | MS. KIMBERLY RACHEL HULEN |
NPI Number: | 1770738916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP/L |
License Number: | 146004312 |
Business Practice Address: | 712 Park Ave Belleville, IL - 622203731 |
Business Phone Number: | 6182354002 |
Business Fax Number: | |
Mailing Address: | 712 Park Ave, BELLEVILLE |
State: | IL |
Postal Code: | 622203731 |
Phone Number: | 6182354002 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2008 |
NPI Last Update Date: | 12/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146004312 |
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 |