Organization Name: | SPEECH ENHANCEMENT DIAGNOSTIC & TREATMENT SERVICES, INC. |
NPI Number: | 1982876769 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TASHA GIBSON (DIRECTOR OF SERVICES) |
Mailing Address: | 3612 Lincoln Hwy Suite 2 Olympia Fields |
State: | IL US |
Postal Code: | 604611627 |
Phone Number: | 7082830411 |
Fax Number: | 7082833974 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |