Individual provider · Type 1 NPI

Alexis Marie Ludolph

Speech-Language Pathologist · East Peoria, IL

NPI number 1649185539 Active

Practice location

601 Taylor St
East Peoria, IL 61611-2685

Mailing address

1111 Kern Rd
Washington, IL 61571-2319

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1649185539

Alexis Marie Ludolph's National Provider Identifier is 1649185539, issued on Aug 17, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in East Peoria, IL. The record was last updated on Aug 17, 2026.