Individual
DEMETRIA COLLINS-WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
3718 213TH PL, MATTESON, IL 60443-2575
(708) 748-0470
Mailing address
3718 213TH PL, MATTESON, IL 60443-2575
(708) 748-0470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009035
IL
235Z00000X
Speech-Language Pathologist
242000261
IL
Other
Enumeration date
03/27/2007
Last updated
05/17/2023
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