Doctor Name: | JACLYN AMOS |
NPI Number: | 1972628790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP/L |
License Number: | 146008593 |
Business Practice Address: | 1019 E Chicago St Elgin, IL - 601206822 |
Business Phone Number: | 8474296131 |
Business Fax Number: | |
Mailing Address: | 1258 Dunamon Dr, BARTLETT |
State: | IL |
Postal Code: | 601031949 |
Phone Number: | 8475334723 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 09/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146008593 |
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 |