Individual provider · Type 1 NPI

Mary Kubalanza

Speech-Language Pathologist · Champaign, IL

NPI number 1003254996 Active

Practice location

2001 S Oak St, Suite B
Champaign, IL 61820-0911

Mailing address

401 W Pennsylvania Ave
Urbana, IL 61801-4920

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X242002571 (IL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1003254996

Mary Kubalanza's National Provider Identifier is 1003254996, issued on Jun 13, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Champaign, IL. The record was last updated on Jun 13, 2013.