Organization
AMARYLLIS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY RENAE BINGEL CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(618) 317-7214
Entity
Organization
Contact information
Practice address
2140 BECKMANN RD, LENZBURG, IL 62255-1602
(618) 317-7214
Mailing address
2140 BECKMANN RD, LENZBURG, IL 62255-1602
(618) 317-7214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/20/2022
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