Bloomington Pediatric Speech Therapy LLC
NPI #1790571107 in Bloomington, Illinois
Provider Information
- NPI Number
- 1790571107
- Entity Type
- Organization
- Organization Name
- Bloomington Pediatric Speech Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 15, 2025
- Last Updated
- Apr 15, 2025
Practice Location
- Address
- 3002 GE RD STE 2
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-2502
- Phone
- (309) 530-6982
Authorized Official
- Name
- LESLIE GARTHAUS, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (309) 530-6982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
| Speech-Language Pathologist |
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