Individual provider · Type 1 NPI

Stephanie Rae Green

Speech-Language Pathologist · Mount Vernon, IL

NPI number 1447766290 Active

Practice location

401 N 30th St
Mount Vernon, IL 62864-2355

Call (618) 244-8068 Map

Fax (618) 244-8075

Mailing address

14785 N Pump House Ln
Mount Vernon, IL 62864-8750

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146003822 (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 1447766290

Stephanie Rae Green's National Provider Identifier is 1447766290, issued on Dec 15, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Dec 15, 2017.