Anna K Mullen-Kroll, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ramsey, IL
NPI 1407240302 · NPPES record last updated Jul 10, 2020
Key facts
- NPI
- 1407240302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146015125 (IL)
- Practice address
- 3199 N 400 St
Ramsey, IL 62080-2413 - Phone
- (814) 218-5902
- NPI assigned
- Mar 27, 2015
- 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)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146015125 | IL | Yes |
Addresses
Primary practice location
3199 N 400 St
Ramsey, IL 62080-2413
Mailing address
3199 N 400 St
Ramsey, IL 62080-2413
Phone (814) 218-5902
Other providers in Ramsey, IL
- Tayler Brooke Herbord
- Laura Elizabeth Marley
- Pana Community Hospital Association
- Pana Community Hospital Association
- Pana Community Hospital Association
- Ramsey Community Unit School District 204
- Elizabeth Wheeler
All providers in Ramsey, 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 10, 2020. 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.