Organization
TINY VOICE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NIELSEN (CEO/SPEECH-LANGUAGE PATHOLOGIST)
(815) 508-8327
Entity
Organization
Contact information
Practice address
601 E GARFIELD ST, WATERMAN, IL 60556-9861
(815) 508-8327
(815) 264-3039
Mailing address
601 E GARFIELD ST, WATERMAN, IL 60556-9861
(815) 508-8327
(815) 264-3039
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
146011731
IL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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