MARY LAKE, SLP
Speech-Language Pathologist
Active
Individual
NPI: 1821203100
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | - |
Frequently Asked Questions
NPI 1821203100 is the National Provider Identifier for MARY LAKE, SLP, a Speech-Language Pathologist provider located in Oak Forest, IL. This NPI was enumerated on May 11, 2007.
MARY LAKE, SLP practices at 15700 TERRACE DR # P102, Oak Forest, IL 60452.
Quick Facts
- NPI
- 1821203100
- Type
- Individual
- Enumerated
- May 11, 2007
- Last Updated
- Jul 8, 2007
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