Cynthia A Bateman, M.S., CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Olney, IL
NPI 1699880997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699880997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 723 E Main St
Olney, IL 62450-2619 - Phone
- (618) 393-7732
- Fax
- (618) 395-3123
- NPI assigned
- Aug 20, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 146004667 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
723 E Main St
Olney, IL 62450-2619
Mailing address
723 E Main St
Olney, IL 62450-2619
Phone (618) 393-7732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8030288 | Other | IL | BLUECROSS/BLUESHIELD IL |
Other providers in Olney, IL
- Julie N Auteberry
- Vicki Ballard
- Jamee S. Baltzell
- Christopher Baptist
- Candace Barnes
- Jamie Marie Bayler
- Stacy L Becker
- Teresa Beehn
- Mark Thomas Behnam
- David R Benson
All providers in Olney, 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 Jul 8, 2007. 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.