Individual provider · Type 1 NPI

Maciel Roa

Speech-Language Pathologist · Forest Park, IL

NPI number 1659072387 Active

Practice location

7423 Madison St
Forest Park, IL 60130-1502

Mailing address

2535 Gunderson Ave
Berwyn, IL 60402-2645

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X242.018634 (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 1659072387

Maciel Roa's National Provider Identifier is 1659072387, issued on Mar 10, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Forest Park, IL. The record was last updated on Jul 11, 2026.