Individual
ALLIE E THYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6301 HUMBERT RD, GODFREY, IL 62035-2163
(618) 466-0367
Mailing address
716 W WARREN ST, BUNKER HILL, IL 62014-1012
(618) 550-0451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010664
IL
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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