Individual provider · Type 1 NPI

Lisette Kmiec, CCC-SLP

Speech-Language Pathologist · Dekalb, IL

NPI number 1417814633 Active

Practice location

2600 N Annie Glidden Rd
Dekalb, IL 60115-1207

Fax (815) 217-0455

Mailing address

245 Lakeside Ct Apt 1026
St. Charles, IL 60174-7923

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X242.007942 (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 1417814633

Lisette Kmiec, CCC-SLP's National Provider Identifier is 1417814633, issued on Jan 8, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dekalb, IL. The record was last updated on Jan 8, 2026.