Karen Lynn Anderson, MS., CCC/SLP-L

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

NPI 1245430867 · NPPES record last updated Jul 21, 2007

Key facts

NPI
1245430867
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
4956 Rocky Branch Rd
Bethalto, IL 62010-2540
Phone
(618) 401-4201
Fax
(618) 377-7011
NPI assigned
Jul 21, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

State licenses

LicenseStateTypeSpecialty
146004463ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterbox Speech, LLC Speech-Language Pathologist Past Accepting new patients
Aim Therapy PC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

4956 Rocky Branch Rd
Bethalto, IL 62010-2540

Mailing address

3418 Manassas Dr
Edwardsville, IL 62025-3209
Phone (618) 692-9633

Other providers in Bethalto, IL

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

Sources for this page

Verify at the official NPI Registry.