Doctor Name: | MRS. NEDRA MARIE LEE |
NPI Number: | 1922269752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146.004476 |
Business Practice Address: | 3626 Tamarind Ln Hazel Crest, IL - 604291555 |
Business Phone Number: | 7083354557 |
Business Fax Number: | 7734715284 |
Mailing Address: | 3626 Tamarind Ln, HAZEL CREST |
State: | IL |
Postal Code: | 604291555 |
Phone Number: | 7083354557 |
Fax Number: | 7734715284 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.004476 |
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 |