Central Illinois Speech Therapy

NPI #1962875872 in Bloomington, Illinois

Provider Information

NPI Number
1962875872
Entity Type
Organization
Organization Name
Central Illinois Speech Therapy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Nov 2, 2015
Last Updated
Nov 2, 2015

Practice Location

Address
4 HOLDER WAY
ZIP Code
61704-8152
Phone
(309) 212-4862

Authorized Official

Name
DR. KAREN LARA DUDEK-BRANNAN, ED.D. CCC-SLP/L
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(309) 212-4862

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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