Individual
MRS. COLLEEN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC/L
Contact information
Practice address
16240 S CEDAR RD, HOMER GLEN, IL 60491-8286
(708) 226-5280
Mailing address
3404 NORWOOD CIR, NEW LENOX, IL 60451-8623
(815) 463-8379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004731
IL
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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