Doctor Name: | JAMIE MONIER |
NPI Number: | 1841612165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 242.002857 |
Business Practice Address: | 1907 W Forrest Hill Ave Peoria, IL - 616041919 |
Business Phone Number: | 3096726571 |
Business Fax Number: | |
Mailing Address: | 1907 W Forrest Hill Ave, PEORIA |
State: | IL |
Postal Code: | 616041919 |
Phone Number: | 3096726571 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2014 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.002857 |
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 |