Individual
CASIE PHEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
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
146.011563
IL
Other
Enumeration date
07/18/2012
Last updated
11/03/2014
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