Individual
MRS. AMY LYNN YACUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
275 ILLINOIS STATE UNIV, 211 RACHEL COOPER, NORMAL, IL 61790-0001
(309) 438-8641
Mailing address
3290 TURQUOIS WAY, NORMAL, IL 61761-9390
(309) 451-0747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007957
IL
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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