Krystina S Dettlaff, SPT
NPI #1043360423 in Palos Hills, Illinois
Provider Information
- NPI Number
- 1043360423
- Entity Type
- Individual
- Name
- Krystina S Dettlaff, SPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SPT
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10340 S ASPEN DR
- City
- Palos Hills
- State
- Illinois
- ZIP Code
- 60465-1710
- Phone
- (708) 430-1360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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