Kristin Lenee Lucas, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chatham, IL
NPI 1962067140 · NPPES record last updated May 3, 2019
Key facts
- NPI
- 1962067140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.009451 (IL)
- Practice address
- 525 S College St
Chatham, IL 62629-1663 - Phone
- (217) 483-2411
- NPI assigned
- May 3, 2019
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009451 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009451 | IL | Yes |
Addresses
Primary practice location
525 S College St
Chatham, IL 62629-1663
Mailing address
1413 W Ash St
Springfield, IL 62704-3405
Other names
- Miss Kristin Lenee Moseley
Other providers in Chatham, IL
- Lauren D Lawson
- Margaret Mackenzie Lee
- Timothy C Lonergan
- Madi Ashli Loveall
- Jessalyn Elaine Loy
- Lusk Services PC
- Marissa Paige Mahan
- Rachael Marie Manning
- Kiley Nicole Marsaglia
- Donna G Mattera
All providers in Chatham, 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 May 3, 2019. 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.