Kathleen M. Bressendorff, SLP/CCC
Individual provider Active NPI Speech-Language Pathologist · Waterloo, IL
NPI 1679720163 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1679720163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146010596 (IL)
- Practice address
- 706 Rogers St
Waterloo, IL 62298-1780 - Phone
- (618) 939-7761
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 146010596 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonder Works Pediatric Therapy P.C. | Speech-Language Pathologist | Current |
Accepting new patients |
| Alamogordo Municipal Schools | Past | Accepting new patients | |
| Ams Speech Therapy, P.C. | Speech-Language Pathologist | Past |
Accepting new patients |
Locations
706 Rogers St
Waterloo, IL 62298
Phone (618) 939-7761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146010596 | IL | Yes |
Addresses
Primary practice location
706 Rogers St
Waterloo, IL 62298-1780
Mailing address
706 Rogers St
Waterloo, IL 62298-1780
Phone (618) 939-7761
Other providers in Waterloo, IL
- Kara Bordeaux
- Michele Bowen
- Marolene Bowling
- Sharon Brand
- Hannah Irene Brasier
- Allison Sue Briggs
- Christine Marie Brinkmann
- Michael Brinson
- Rachel Brock
- Erica Lashunda Brooks
All providers in Waterloo, 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 Apr 4, 2025. 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.