Speech & Learning Connections
NPI #1255511283 in Bloomington, Illinois
Provider Information
- NPI Number
- 1255511283
- Entity Type
- Organization
- Organization Name
- Speech & Learning Connections
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 2412 E WASHINGTON ST
- Address 2
- 8B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4497
- Phone
- (309) 663-4172
Authorized Official
- Name
- BASHA ONTIVEROS, M.S., CCC-SLP
- Title
- DIRECTOR/OWNER
- Phone
- (309) 663-4172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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