Virginia Middendorff, M.S.,CCC-SLP

NPI #1912056375 in Carlyle, Illinois

Provider Information

NPI Number: 1912056375
Entity Type: Individual
Name: Virginia Middendorff, M.S.,CCC-SLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Speech-Language Pathologist
Credential: M.S.,CCC-SLP
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1090 JEFFERSON ST
City: Carlyle
State: Illinois
ZIP Code: 62231-1426
Phone: (618) 594-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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