Jennifer June Lang, M.S.
Individual provider Active NPI Speech-Language Pathologist · Cuba, IL
NPI 1992094551 · NPPES record last updated Dec 20, 2017
Key facts
- NPI
- 1992094551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.006405 (IL)
- Practice address
- 625 E. Monroe St
Cuba, IL 61427 - Phone
- (309) 785-5012
- NPI assigned
- Apr 5, 2011
- 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)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006405 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.006405 | IL | Yes |
Addresses
Primary practice location
625 E. Monroe St
Cuba, IL 61427
Mailing address
314 Peoria St
Lincoln, IL 62656-1653
Phone (309) 678-2666
Other providers in Cuba, IL
- Bridgette Dennis
- Fulton County Comm Dist 3
- Graham Hospital Association
- Marcia Anne Heitz
- Megan Kathleen Holliger
- Charlotte M Lindner
- Michelle L Markley
- Trisha Ann McCombs
- Stacie N Petitgout
- Katherine Jalane Prisby
All providers in Cuba, 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 Dec 20, 2017. 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.