Katie Terese Mueller, MS, CCC-SLP/L

Individual provider Active NPI Speech-Language Pathologist · Normal, IL

NPI 1053781278 · NPPES record last updated Apr 22, 2016

Key facts

NPI
1053781278
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1606 Hunt Dr Ste 1a
Normal, IL 61761-6185
Phone
(309) 451-8888
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Speech Therapy Speech-Language Pathologist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Yes

Addresses

Primary practice location

1606 Hunt Dr Ste 1a
Normal, IL 61761-6185

Mailing address

1304 Searle Dr
Normal, IL 61761-2868
Phone (309) 824-0727

Other providers in Normal, IL

All providers in Normal, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.