Abbey Brooks
Individual provider Active NPI Speech-Language Pathologist · Edwardsville, IL
NPI 1992384440 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1992384440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1070 University Dr Apt 4
Edwardsville, IL 62025-5546 - Phone
- (618) 335-2026
- NPI assigned
- Apr 2, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1070 University Dr Apt 4
Edwardsville, IL 62025-5546
Mailing address
1070 University Dr Apt 4
Edwardsville, IL 62025-5546
Phone (618) 335-2026
Other providers in Edwardsville, IL
- Elizabeth Marie Bray
- Harvey Breckner
- Carl David Brickman
- Rebecca Bristow
- Abigail Kirstie Brohammer
- Caleb Brown
- Miah Brown
- Montana Sky Brown
- Nathan Brown
- Demarco Shontez Brownlee
All providers in Edwardsville, 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 Apr 2, 2021. 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.