Individual provider · Type 1 NPI

Kelly Nicole Banaszak

Speech-Language Pathologist · Park Forest, IL

NPI number 1891550604 Active

Practice location

242 S Orchard Dr
Park Forest, IL 60466-2041

Mailing address

5470 Natalie Dr
Oak Forest, IL 60452-2128

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X242.007647 (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 1891550604

Kelly Nicole Banaszak's National Provider Identifier is 1891550604, issued on Feb 20, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Park Forest, IL. The record was last updated on Oct 24, 2024.