NPI 1174780662

Micael Dean-Stanton, SLP

Practitioner Speech-Language Pathologist Fairview Heights, IL

Practice location

Address: 141 Market Pl Suite 203, Fairview Heights, IL 62208-2034
Phone: (618) 398-4118
Fax: (847) 881-9640

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 1654 (KS)

Other Speech-Language Pathologist providers in Illinois →

Registry record

NPI: 1174780662
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2008
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.