Individual
ILIANNA GOETTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1707 VILLAGE CENTER CIR STE 150, LAS VEGAS, NV 89134-0597
(702) 899-5810
(702) 899-5855
Mailing address
7607 MOUNT PRINCETON ST, LAS VEGAS, NV 89166-5011
(727) 415-4083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP-2844
NV
235Z00000X
Speech-Language Pathologist
Primary
SP-3149
NV
Other
Enumeration date
08/23/2021
Last updated
04/22/2025
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