Carissa Hallam, M.S., SLP-CCC

NPI #1174946172 in Oregon, Illinois

Provider Information

NPI Number
1174946172
Entity Type
Individual
Name
Carissa Hallam, M.S., SLP-CCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., SLP-CCC
Enumeration Date
Jan 27, 2014
Last Updated
Jan 27, 2014

Practice Location

Address
1012 S 3RD ST
City
Oregon
ZIP Code
61061-2300
Phone
(618) 214-6569

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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