Provider Demographics
NPI:1922294065
Name:CURETON, RENA JOHNETTE (CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:RENA
Middle Name:JOHNETTE
Last Name:CURETON
Suffix:
Gender:F
Credentials: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:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-5105
Mailing Address - Country:US
Mailing Address - Phone:708-560-4235
Mailing Address - Fax:708-418-8620
Practice Address - Street 1:3363 171ST ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-1105
Practice Address - Country:US
Practice Address - Phone:708-560-4235
Practice Address - Fax:708-418-8620
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-22
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46001604A235Z00000X
IL146.008854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist