Jessica Lynn Engledow, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marshall, IL
NPI 1104036276 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104036276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 314 S 5TH St
Marshall, IL 62441-1403 - Phone
- (217) 826-5278
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|
| 146.008452 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
314 S 5TH St
Marshall, IL 62441-1403
Mailing address
314 S 5TH St
Marshall, IL 62441-1403
Phone (217) 826-5278
Other providers in Marshall, IL
- Burnsides Community Health Center, NFP
- Jessica Nicole Cannady
- Core Wellness Physical Therapy, PLLC
- County of Clark
- Anita Yvonne Eirhart
- Eyes on Main PLLC
- Tabitha Hanson
- Chelsey Lee Hardiek
- Kelly Sue Hargis
- Haven Hospice Il LLC
All providers in Marshall, 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 Jul 8, 2007. 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.