Alexis True

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

NPI 1659660504 · NPPES record last updated Mar 31, 2011

Key facts

NPI
1659660504
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.009467 (IL)
Practice address
8645 Byron Hills Dr
Byron, IL 61010-9791
Phone
(815) 751-8110
NPI assigned
Mar 31, 2011
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

State licenses

LicenseStateTypeSpecialty
146.009467ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.009467 IL Yes

Addresses

Primary practice location

8645 Byron Hills Dr
Byron, IL 61010-9791

Mailing address

8645 Byron Hills Dr
Byron, IL 61010-9791
Phone (815) 751-8110

Other names

  • Alexis Templeton Former name

Other providers in Byron, IL

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

Sources for this page

Verify at the official NPI Registry.