Anita Beetler
Individual provider Active NPI Speech-Language Pathologist · Galesburg, IL
NPI 1598280653 · NPPES record last updated Aug 10, 2017
Key facts
- NPI
- 1598280653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1131 W Dayton St
Galesburg, IL 61401-1507 - Phone
- (309) 973-2011
- NPI assigned
- Aug 10, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1131 W Dayton St
Galesburg, IL 61401-1507
Mailing address
1890 Sunset Dr
Galesburg, IL 61401-8542
Phone (309) 341-1263
Other providers in Galesburg, IL
- Beacon of Hope Hospice of Illinois
- Cindy Beadles
- Denise Beall
- Jodi Becker
- Nicholas Becker
- Michelle E Beetler
- Shelby Beil
- Ivonne Lilian Beltran Lara
- Ralph S Benejam
- James Allan Berg Jr.
All providers in Galesburg, 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 10, 2017. 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.