Organization
AMS SPEECH THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MELBY SCHANKS M.S. CCC-SLP/L (OWNER)
(815) 545-7761
Entity
Organization
Contact information
Practice address
315 E 4TH ST, WATERLOO, IL 62298-1603
(618) 939-7761
(855) 606-6318
Mailing address
315 E 4TH ST, WATERLOO, IL 62298-1603
(815) 545-7761
(855) 606-6318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
146.010700
IL
Other
Enumeration date
02/02/2015
Last updated
05/22/2024
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