Provider Demographics
NPI:1114632817
Name:VILLANUEVA, CLAUDIA ELIZABETH (MHS, CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ELIZABETH
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:MHS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-2447
Mailing Address - Country:US
Mailing Address - Phone:815-710-1132
Mailing Address - Fax:
Practice Address - Street 1:1803 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-2447
Practice Address - Country:US
Practice Address - Phone:815-710-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist