Organization
PHENOM SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE RILLING M.S., CCC-SLP (OWNER/MANAGER)
(208) 919-4189
Entity
Organization
Contact information
Practice address
9937 DELICATE DEW ST, LAS VEGAS, NV 89183-7153
(702) 985-8385
Mailing address
9850 S MARYLAND PKWY, STE A-5 #264, LAS VEGAS, NV 89183-7146
(702) 985-8385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1264
NV
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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