Individual
BRIDGET ANN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST STE 450, PEORIA, IL 61602-5018
(309) 672-4568
Mailing address
411 HAMILTON BLVD STE 1908, PEORIA, IL 61602-1146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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