Individual
MS. JENNA SUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP/L
Contact information
Practice address
3805 SANDSTONE DR, CHAMPAIGN, IL 61822-2045
(217) 493-7269
Mailing address
3805 SANDSTONE DR, CHAMPAIGN, IL 61822-2045
(217) 493-7269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010862
IL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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