Individual
MS. JENNIFER ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP/L
Contact information
Practice address
4N681 MUNGER RD, WAYNE, IL 60184-2486
(630) 588-8543
(630) 588-1985
Mailing address
PO BOX 566, WAYNE, IL 60184-0566
(952) 956-2089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010028
IL
235Z00000X
Speech-Language Pathologist
242.001023
IL
Other
Enumeration date
01/17/2009
Last updated
05/19/2019
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