Jerica Renee Patek Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, IL
- NPI
- 1548890296
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 146013718 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-01-22
- Last updated
- 2020-01-22
Practice location
723 Insight Ave Ste 300
O Fallon, IL 62269-2193
(618) 607-0086