Christine Marie Garretson, MS CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Peru, IL
NPI 1174755243 · NPPES record last updated Aug 21, 2009
Key facts
- NPI
- 1174755243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.0003757 (IL)
- Practice address
- 310 Walnut St
Peru, IL 61354-1946 - Phone
- (815) 780-3309
- Fax
- (815) 224-6744
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.0003757 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Margaret'S Health-Peru | Past | Accepting new patients | |
| St. Margaret'S Health-Peru | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.0003757 | IL | Yes |
Addresses
Primary practice location
310 Walnut St
Peru, IL 61354-1946
Mailing address
310 Walnut St
Peru, IL 61354-1946
Phone (815) 780-3309
Other providers in Peru, IL
- Brenden Fasken
- Mark Allen Fernandez
- Kassi Ann Filipiak
- Gailey Eye Clinic, LTD
- Rakesh K Garg
- Girlfriends, LLC
- Neelam Goel
- Ram Goel
- Eryn Analise Goetze
- Michael John Grabowski
All providers in Peru, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.