ANGELA ELENI KIOULTZOPOULOS (NPI# 1215224357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215224357 |
| Entity Type | Individual |
| Full Name | ANGELA ELENI KIOULTZOPOULOS |
| Credential | M.S., CCC-SLP |
| Practice Address |
7a Ginger Creek Village Dr. Glen Carbon IL 62034 |
| Mailing Address |
5331 Richland Woods Dr Alton IL 62002-6970 |
| Practice Telephone | 6186567157 |
| Practice Fax Number | 6186560266 |
| Mailing Telephone | 2604384127 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
7A GINGER CREEK VILLAGE DR. |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689922452 | Sarah Lindsey Bartlett | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62035 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| 1689886681 | Dental Professionals of Illinois, P.C. | Dentist | 4235 S State Road 159, Glen Carbon, IL 62034 | 2007-05-04 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651720 | Roots & Wings Pediatric Therapy | Speech-Language Pathologist | 215 Ashford Dr, Glen Carbon, IL 62034-8516 | 2020-08-25 |
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1144743030 | Megan Leslie Pani | Speech-Language Pathologist | 216 Glenlake Dr, Glen Carbon, IL 62034-1172 | 2017-07-23 |
| 1346664935 | Kim M Mccausland | Speech-Language Pathologist | 20 Foreman Dr, Glen Carbon, IL 62034-1308 | 2014-02-18 |
| 1447598826 | Rachel Ann Bull | Speech-Language Pathologist | 14 Rose Ct, Glen Carbon, IL 62034-1393 | 2013-01-20 |
| 1346506789 | Kelsey Hubert | Speech-Language Pathologist | 200 S Station Rd, Glen Carbon, IL 62034-2777 | 2012-04-10 |
| 1861710329 | Michelle Kovarik | Speech-Language Pathologist | 635 Glen Crossing Rd, Glen Carbon, IL 62034-4000 | 2010-05-08 |
| 1598966327 | Marina B Ferrari | Speech-Language Pathologist | 2 Lou Juan Dr, Glen Carbon, IL 62034-1918 | 2007-05-30 |
| 1235340860 | Kristen Kay Miller | Speech-Language Pathologist | 141 Crystal Gate Ln, Glen Carbon, IL 62034-1134 | 2007-05-25 |
| 1295864064 | Patricia J Tracy | Speech-Language Pathologist | 7a Ginger Creek Village Drive, Glen Carbon, IL 62034-4916 | 2007-03-05 |
| Find all providers in GLEN CARBON | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
Please comment or provide details below to improve the information on ANGELA ELENI KIOULTZOPOULOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.