Emma Lane, MS CCC-SLP/L

NPI #1982049268 in East Peoria, Illinois

Provider Information

NPI Number
1982049268
Entity Type
Individual
Name
Emma Lane, MS CCC-SLP/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP/L
Enumeration Date
May 1, 2013
Last Updated
May 1, 2013

Practice Location

Address
112 HEATHERVIEW DR
ZIP Code
61611-4889
Phone
(309) 360-0707

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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