Individual
ASHLEY W LANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9811 WOODS DR, SUITE H-190, SKOKIE, IL 60077-1074
(847) 663-2300
(847) 663-2400
Mailing address
439 DODGE AVE, EVANSTON, IL 60202-3253
(773) 425-7984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12025532
ASHA CREDIENTIALS
—
01
—
AW35870501P
EI PROVIDER NUMBER
IL
Enumeration date
05/07/2007
Last updated
07/08/2007
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