Alexa Camacho, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Savoy, IL
NPI 1043042922 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1043042922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146017690 (IL)
- Practice address
- 405 Potomac Ave
Savoy, IL 61874-8113 - Phone
- (217) 412-7833
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 146017690 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146017690 | IL | Yes |
Addresses
Primary practice location
405 Potomac Ave
Savoy, IL 61874-8113
Mailing address
405 Potomac Ave
Savoy, IL 61874-8113
Phone (217) 412-7833
Other providers in Savoy, IL
- Emily Braden
- Kelly M Bradham
- Brenda Sommer Therapy & Consulting
- Tony Bui
- Leigh Ann Calloway
- Andrea Lynn Cardani
- Carle Arbours, Inc.
- Carle Arbours, Inc.
- Carol Claxon Counseling
- Guillermo D Castillo
All providers in Savoy, 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 19, 2024. 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.