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Organization
SPEECH TREE ASSOCIATES, LLC
Active
Organization
SPEECH TREE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BUSH (CREDENTIALING MANAGER)
(847) 584-2604
Entity
Organization
Contact information
Practice address
3130 CHATHAM RD STE A, SPRINGFIELD, IL 62704-5379
(815) 725-9992
(847) 584-2604
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(815) 725-9992
(847) 584-2604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
09/14/2022
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