Louise Ellen Walder MA CCC SLPL

NPI 1790821205 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790821205
Gender Female
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1303 WESTBROOK DR
MAHOMET IL, 61853-9503, US
Phone (217) 586-5773
Fax (217) 586-5773
Business Location
1303 WESTBROOK DR
MAHOMET IL, 61853-9503, US
Phone (217) 586-5773
Fax (217) 586-5773
Toxanomy
Taxonomy Code 235Z00000X
License State
License Number
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According to our database, Mrs. Louise Ellen Walder MA CCC SLPL NPI is 1790821205, taxonomy code is 235Z00000X Louise Ellen Walder MA CCC SLPL physically located at 1303 Westbrook Dr, Mahomet IL, 61853-9503. NPI Number Louise Ellen Walder MA CCC SLPL has the Individual type.

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1790821205 NPI number is provided on an as is basis without warranty of any kind. 1790821205 is maintained by the National Plan & Provider Enumeration System. The contents of Louise Ellen Walder MA CCC SLPL are for informational purposes only.