Doctor Name: | KATHLEEN E BLATTNER |
NPI Number: | 1821261074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 242000663 |
Business Practice Address: | 6186 River Bend Dr Lisle, IL - 605324531 |
Business Phone Number: | 6308008760 |
Business Fax Number: | |
Mailing Address: | 6186 River Bend Dr, LISLE |
State: | IL |
Postal Code: | 605324531 |
Phone Number: | 6308008760 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242000663 |
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 |