Individual
BETH DALTON MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 W MAPLE AVE, MUNDELEIN, IL 60060-1785
(847) 949-2720
Mailing address
920 TRALEE CT, GURNEE, IL 60031-3776
(847) 336-1543
(847) 336-1543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004399
IL
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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