MRS. Jeanna R Antrim, M.S., CCC-SLP
NPI #1619308665 in Belleville, Illinois
Provider Information
- NPI Number
- 1619308665
- Entity Type
- Individual
- Name
- MRS. Jeanna R Antrim, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Dec 2, 2013
- Last Updated
- Dec 2, 2013
Practice Location
- Address
- 2411 PATHWAYS XING
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5885
- Phone
- (618) 355-4756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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