Individual
ANNA BETH DEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11813 FORD CT, PLAINFIELD, IL 60585-2203
(651) 468-1170
Mailing address
11813 FORD CT, PLAINFIELD, IL 60585-2203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/12/2020
Last updated
01/12/2020
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