Individual
MRS. ELIZABETH VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2035 W ILES AVE STE C, SPRINGFIELD, IL 62704-7000
(217) 726-1946
Mailing address
505 WINGATE DR, SHERMAN, IL 62684-9758
(217) 320-1818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012479
IL
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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