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Individual
TERRI GARTENBERG
Active
Individual
TERRI GARTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627850
BCBS PROVIDER NUMBER
IL
Enumeration date
01/26/2007
Last updated
07/08/2007
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