Joelle Renee Elmore
Individual provider Active NPI Speech-Language Pathologist · Washington, IL
NPI 1144748146 · NPPES record last updated Aug 30, 2017
Key facts
- NPI
- 1144748146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1816673 (IL)
- Practice address
- 1400 Newcastle Rd
Washington, IL 61571-1255 - Phone
- (309) 444-3580
- NPI assigned
- Aug 30, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1816673 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1816673 | IL | Yes |
Addresses
Primary practice location
1400 Newcastle Rd
Washington, IL 61571-1255
Mailing address
165 Teel LN
Washington, IL 61571-1073
Phone (309) 256-1150
Other providers in Washington, IL
- Patricia A Duckwiler
- Alecsander Dutko
- Kimberly Ann Earle
- Caitlin Mary Eigsti
- Jacquelin Diane Ejka
- Leah Embree
- Katherine J Engelke
- David J England
- Courtney E Erickson
- Brandi Eslinger
All providers in Washington, 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 30, 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.