MRS. Evana Ruth Sandusky, CCC-SLP
NPI #1689737801 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1689737801
- Entity Type
- Individual
- Name
- MRS. Evana Ruth Sandusky, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Dec 18, 2006
- Last Updated
- May 24, 2016
Practice Location
- Address
- 9689 COUNTY ROAD 975 N
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-2089
- Phone
- (618) 967-2113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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