Laurel Ann Allspaugh, SLP
Individual provider Active NPI Speech-Language Pathologist · Chadwick, IL
NPI 1669767802 · NPPES record last updated Oct 20, 2017
Key facts
- NPI
- 1669767802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.001803 (IL)
- Practice address
- 112 Snow St
Chadwick, IL 61014-0433 - Phone
- (815) 441-3760
- NPI assigned
- Jun 16, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.001803 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.001803 | IL | Yes |
Addresses
Primary practice location
112 Snow St
Chadwick, IL 61014-0433
Mailing address
PO Box 433
112 Snow St
Chadwick, IL 61014-0433
Phone (815) 441-3760
Other providers in Chadwick, IL
All providers in Chadwick, 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 Oct 20, 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.