Melissa Park
Melissa Park is a Speech-Language Pathologist in Normal, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
810 Phaeton PlNormal, IL 61761-4836
Phone: (847) 401-4024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146014250 (IL) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1972228732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 4, 2022 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | August 18, 2022 |
| Mailing address | 810 Phaeton Pl, Normal, IL 61761-4836 |
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