Rachel Herring

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

NPI 1992221089 · NPPES record last updated Aug 21, 2017

Key facts

NPI
1992221089
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146009389 (IL)
Practice address
6800 Humbert Rd
Godfrey, IL 62035-2250
Phone
(618) 463-8299
NPI assigned
Aug 21, 2017
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

State licenses

LicenseStateTypeSpecialty
146009389ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146009389 IL Yes

Addresses

Primary practice location

6800 Humbert Rd
Godfrey, IL 62035-2250

Mailing address

6800 Humbert Rd
Godfrey, IL 62035-2250

Other providers in Godfrey, IL

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

Sources for this page

Verify at the official NPI Registry.