Individual
ELIZABETH ANN HERMANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1135 PALMER RANCH DR, NEW LENOX, IL 60451-3153
(708) 508-0856
(815) 463-9850
Mailing address
1135 PALMER RANCH DR, NEW LENOX, IL 60451-3153
(708) 508-0856
(815) 463-9850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EW17300799P
IL EARLY INTERVENTION
IL
Enumeration date
04/04/2007
Last updated
07/08/2007
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