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
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-4889
- Phone
- (309) 360-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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