Kelli Stewart, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Morrisonville, IL
NPI 1629625413 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1629625413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 214 Prairie St
Morrisonville, IL 62546 - Phone
- (217) 526-8121
- NPI assigned
- Aug 26, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
214 Prairie St
Morrisonville, IL 62546
Mailing address
1209 Streamwood LN
Carlinville, IL 62626-1562
Phone (217) 556-7147
Other providers in Morrisonville, IL
- Morrisonville Community Ambulance
- Morrisonvillecusd #1
- Melanie Poggenpohl
- Emma Kathleen Reichert Campbell
- Ruby Matteson Savant
- Brianna Marie Taylor
All providers in Morrisonville, 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 26, 2019. 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.