Individual
ANN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. CCC/SLP-L
Contact information
Practice address
501 7TH ST, ROCKFORD, IL 61104-1242
(815) 966-3000
Mailing address
1607 FAIRVIEW CT, ROCKFORD, IL 61107-1930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.003712
IL
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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