Molly Aceves, M.A., CCC-SLP

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

NPI 1750512372 · NPPES record last updated Jul 30, 2009

Key facts

NPI
1750512372
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.006736 (IL)
Practice address
1001 Hull Ter
Unit 4-1
Evanston, IL 60202-3371
Phone
(847) 475-4232
NPI assigned
Jul 30, 2009
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 Arts

State licenses

LicenseStateTypeSpecialty
146.006736ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.006736 IL Yes

Addresses

Primary practice location

1001 Hull Ter
Unit 4-1
Evanston, IL 60202-3371

Mailing address

1001 Hull Ter
Unit 4-1
Evanston, IL 60202-3371
Phone (847) 475-4232

Other providers in Evanston, IL

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

Sources for this page

Verify at the official NPI Registry.