Individual
MRS. ELIZABETH WENTWORTH BIERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
Mailing address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009714
IL
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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