Elaine Rachelle Good, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Paris, IL

NPI 1629152244 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629152244
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
12443 E 1000TH Rd
Paris, IL 61944
Phone
(217) 465-2775
Fax
(812) 235-1526
NPI assigned
Oct 24, 2006
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146001847ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Yes

Addresses

Primary practice location

12443 E 1000TH Rd
Paris, IL 61944

Mailing address

12443 E 1000TH Rd
Paris, IL 61944
Phone (217) 465-2775

Other providers in Paris, IL

All providers in Paris, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.