Cindy Wade Mayo, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Homewood, IL
NPI 1316023716 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316023716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3001 Kathleen CT
Homewood, IL 60430-2850 - Phone
- (708) 647-0527
- Fax
- (708) 647-0527
- NPI assigned
- Oct 27, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146003736 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Speech Therapeutic Services | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
3001 Kathleen CT
Homewood, IL 60430-2850
Mailing address
3001 Kathleen CT
Homewood, IL 60430-2850
Phone (708) 647-0527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364380714-60430-01 | Medicaid | IL |
Other providers in Homewood, IL
- Village of Homewood
- Vipul M. Patel
- Virtuous Speech LLC
- Visionworks Inc
- Visiting Caregivers LLC
- Janya Waites
- Walgreen Co
- Walgreen Co
- Walgreen Co.
- Alexandria Walker
All providers in Homewood, 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.