Beth Ann Fraley, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wood Dale, IL
NPI 1376720797 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1376720797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 494 W Clare CT
Wood Dale, IL 60191-2723 - Phone
- (630) 422-7116
- NPI assigned
- Jan 28, 2008
- 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 |
|---|---|---|---|
| 146.008515 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
494 W Clare CT
Wood Dale, IL 60191-2723
Mailing address
494 W Clare CT
Wood Dale, IL 60191-2723
Phone (630) 422-7116
Other providers in Wood Dale, IL
- Erin Ann Ferguson
- First Class Caregivers
- Ryan Elizabeth Fletcher
- Martin G Fortier
- Matthew Edward Fowler
- Susan Dianne Frank
- Jesse Armando Galeana
- Paige Gallagher
- Gema, Inc
- Given the Ability Inc.
All providers in Wood Dale, 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 Jan 28, 2008. 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.