Individual provider · Type 1 NPI
Serita Whitehorn
Speech-Language Assistant · Dolton, IL
NPI number
1194261875
Active
Practice location
509 E 144th St
Dolton, IL 60419-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 29001804A (IN) |
Speech-Language Assistant: Definition to come...
About NPI 1194261875
Serita Whitehorn's National Provider Identifier is 1194261875, issued on Jan 18, 2017. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Dolton, IL. The record was last updated on Jan 18, 2017.