Kelly Nicole Banaszak Valid NPI

Individual provider · Speech-Language Pathologist · Park Forest, IL

NPI

1891550604

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

242.007647 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-02-20

Last updated

2024-10-24