| Organization Name: | DAMARIS MILTENBERGER LANGUAGE & LEARNING CENTER, LTD |
| NPI Number: | 1942352083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAMARIS MILTENBERGER (OWNER) |
| Mailing Address: | 301 S. Wall St. Suite B Carbondale |
| State: | IL US |
| Postal Code: | 62902 |
| Phone Number: | 6183511279 |
| Fax Number: | 6183516369 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146002025 |
| 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 |