Lindsey Brushaber
Individual provider Active NPI Speech-Language Pathologist · Manhattan, IL
NPI 1124564091 · NPPES record last updated Sep 22, 2021
Key facts
- NPI
- 1124564091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.3004313 (IL)
- Practice address
- 24325 S Clydesdale CT
Manhattan, IL 60442-1479 - Phone
- (708) 717-2933
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 242.3004313 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| You & Me Childrens Therapy PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.3004313 | IL | Yes |
Addresses
Primary practice location
24325 S Clydesdale CT
Manhattan, IL 60442-1479
Mailing address
24325 S Clydesdale CT
Manhattan, IL 60442-1479
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All providers in Manhattan, 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 22, 2021. 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.