Alison Goley
Individual provider Active NPI Speech-Language Pathologist · Mapleton, IL
NPI 1316197916 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1316197916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.010127 (IL)
- Practice address
- 9438 W Lake Camelot Dr
Mapleton, IL 61547 - Phone
- (630) 740-1182
- Fax
- (309) 697-5574
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 146.010127 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.010127 | IL | Yes |
Addresses
Primary practice location
9438 W Lake Camelot Dr
Mapleton, IL 61547
Mailing address
9438 W Lake Camelot Dr
Mapleton, IL 61547-9328
Phone (630) 740-1182
Other providers in Mapleton, IL
- Susan Beckman
- Rachel Buchheit
- Nicholas Creek
- Delayne L Deiss
- Briana Fletcher
- Jeffrey W Hemp
- Abigail Elizabeth Henry
- Victoria R Lavick-Scudder
- Rhiannon L Richards
- James Reuben Seavey Jr.
All providers in Mapleton, 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, 2018. 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.