Individual
HALEY WYNNE BRANCHEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 354-5730
Mailing address
7802 PINE PKWY, DARIEN, IL 60561-5034
(772) 403-3647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14297273
IL
235Z00000X
Speech-Language Pathologist
Primary
146.016054
IL
Other
Enumeration date
09/08/2020
Last updated
01/03/2023
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