Individual
CAITLYN PATALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10110 OLD LINCOLN TRAIL, FAIRVIEW HEIGHTS, IL 62208
(618) 397-2764
Mailing address
8441 E JACKSON STREET RD, DU QUOIN, IL 62832-3810
(618) 571-2232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007616
IL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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