Cristina Nicole Spencer, MA CCC SLPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12411721 Issued in IL

Practice address

18 N Catherine
La Grange, IL 60525

Phone

(708) 482-9453

Fax

(708) 482-9454

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Cristina Nicole Pesce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932288040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PLAYERS CLUB PARKWAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "901-685-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N CATHERINE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-482-9453",
            "fax_number": "708-482-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLPL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "12411721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "PESCE",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "MA CCC SLPL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Peter Soneru, MD
• Catherine Bassen Soofi, M.S.CCC-SLP
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• Ashley Speller, DC
• Jenna R. Squillo, BCBA
• Nanci H Stark, APRN
• Louise Starmann, LCSW
• Kristina Nicole Stepanovic, DO
• Stephen C. Murphy DPM

• Speech-Language Pathologist in La Grange, IL
• Providers in La Grange, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.