Individual
CHRISTINA MARIE HUCKELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3500 CENTURY DR, GRANITE CITY, IL 62040-2166
(618) 877-2700
(618) 877-0711
Mailing address
15 N CROWN DR, COLLINSVILLE, IL 62234-1315
(618) 719-6796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008514
IL
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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