Organization
ASONE SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE M FULTON SLP-CCC (OWNER/LEAD THERAPIST)
(309) 204-4961
Entity
Organization
Contact information
Practice address
10 EVERETT CT, BLOOMINGTON, IL 61705-6557
(309) 204-4961
(844) 777-1755
Mailing address
1900 E COLLEGE AVE STE A168, NORMAL, IL 61761-4507
(309) 204-4961
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
05/02/2023
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