Individual
FAHEEDA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62711-8353
(217) 275-2593
Mailing address
1335 STRASSNER DR, SAINT LOUIS, MO 63144-1872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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