Individual
MS. COLLEEN ELIZABETH FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3726 N LINCOLN AVE APT 4N, CHICAGO, IL 60613-5652
(630) 989-6422
Mailing address
3726 N LINCOLN AVE APT 4N, CHICAGO, IL 60613-5652
(630) 989-6422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010886
IL
Other
Enumeration date
06/01/2012
Last updated
04/29/2017
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