Individual
BRET DANIEL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
40W310 LAFOX RD UNIT A1-B1, ST CHARLES, IL 60175-6588
(630) 444-0077
Mailing address
40W310 LAFOX RD UNIT A1-B1, ST CHARLES, IL 60175-6588
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001288
IL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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