Sally Boyer, SLP
Individual provider Active NPI Speech-Language Pathologist · Herrin, IL
NPI 1013165166 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1013165166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.008796 (IL)
- Practice address
- 1901 N. 13TH Street
Herrin, IL 62948 - Phone
- (618) 942-3274
- Fax
- (618) 942-8240
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.008796 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.008796 | IL | Yes |
Addresses
Primary practice location
1901 N. 13TH Street
Herrin, IL 62948
Mailing address
1901 N. 13TH Street
Herrin, IL 62948
Phone (618) 942-3274
Other providers in Herrin, IL
- Lindsay Boatright
- Linda D Bobo
- Sarah Boots
- Kathryn Marie Bordenet-Jines
- Zoe Ann Michelle Bounds
- Valerie E. Boyer
- Carolyn Ruth Brandon
- Rhonda Joyce Branum
- Amanda Laine Brazis
- Robert Judson Brewer
All providers in Herrin, 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 Sep 3, 2008. 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.