MRS. Carol Ruch Wylie, C.C.C./SLP
NPI #1629231840 in East Peoria, Illinois
Provider Information
- NPI Number
- 1629231840
- Entity Type
- Individual
- Name
- MRS. Carol Ruch Wylie, C.C.C./SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- C.C.C./SLP
- Enumeration Date
- Jul 8, 2008
- Last Updated
- Nov 3, 2009
Practice Location
- Address
- 901 ILLINI DR
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-1840
- Phone
- (309) 694-6446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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