Organization
BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GARTHAUS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(309) 530-6982
Entity
Organization
Contact information
Practice address
3002 GE RD STE 2, BLOOMINGTON, IL 61704-2502
(309) 530-6982
Mailing address
26 WATERSIDE CIR, BLOOMINGTON, IL 61704-2921
(309) 530-6982
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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