Doctor Name: | MS. ROSINA ELIZABETH HACKL |
NPI Number: | 1871858407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 146011757 |
Business Practice Address: | 4620 Tamarack Ct Crystal Lake, IL - 600122062 |
Business Phone Number: | 7737447255 |
Business Fax Number: | |
Mailing Address: | 4620 Tamarack Ct, CRYSTAL LAKE |
State: | IL |
Postal Code: | 600122062 |
Phone Number: | 7737447255 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 10/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146011757 |
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 |