Individual
MS. ELIZABETH ANNE HETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
125 DIAMOND CT, SHILOH, IL 62269-3617
(618) 632-7434
(618) 632-8343
Mailing address
125 DIAMOND CT, SHILOH, IL 62269-3617
(618) 632-7434
(618) 632-8343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004471
IL
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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