Debra Ann Preisser, PHD, SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Donovan, IL
NPI 1093232191 · NPPES record last updated Aug 29, 2017
Key facts
- NPI
- 1093232191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.009233 (IL)
- Practice address
- 2561 E US Highway 52
Donovan, IL 60931-8060 - Phone
- (815) 486-7321
- NPI assigned
- Aug 29, 2017
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009233 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009233 | IL | Yes |
Addresses
Primary practice location
2561 E US Highway 52
Donovan, IL 60931-8060
Mailing address
100 Miner St
Crescent City, IL 60928-8092
Other providers in Donovan, IL
All providers in Donovan, 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 29, 2017. 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.