PAIGE E CORNILLIE


Address: 1810 Chartwell Dr, Traverse City, MI 49696-9283
Phone: 2319292354

PAIGE E CORNILLIE (NPI# 1629695424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629695424
Entity Type Individual
Full Name PAIGE E CORNILLIE
Credential CCC-SLP
Practice Address 1810 Chartwell Dr
Traverse City
MI 49696-9283
Mailing Address 2325 Orchard Circle Dr Apt 7
Traverse City
MI 49686-1536
Practice Telephone 2319292354
Mailing Telephone 7348120725
Enumeration Date 2020-06-29
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7151000721 MI Speech, Language and Hearing Service Providers

Office Location

Street Address 1810 CHARTWELL DR
City TRAVERSE CITY
State MI
Zip Code 49696-9283

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992902431 Kristen Thomas Speech-Language Pathologist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2007-06-28
1568076206 Raven Mccann Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2020-09-01
1922633486 Rachel Gabriela Schmitt Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2020-03-05
1841839081 Jada Michelle Paige Cadorette Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2020-01-06
1750920898 Daryn Mckenzy Waddell Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2020-01-06
1710526322 Sheryl Zimmerman Physical Therapist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2019-12-30
1124669502 Alyssa Jane Westmaas Speech-Language Pathologist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2019-10-07
1043864358 Nicole Chargo Speech-Language Pathologist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2019-07-25
1477106946 Lisa Salisbury Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2019-07-23
1811486590 Thomas Michael Watson Behavior Technician 1810 Chartwell Dr, Traverse City, MI 49696-9283 2018-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669965901 Audrey Jo Cornell Behavior Technician 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 2018-06-12
1972026680 Stacey Lesnick Beyer Occupational Therapist 1810 Chartwell Dr., Traverse City, MI 49696 2017-07-25
1821527359 James Harper Day Training, Developmentally Disabled Services 1364 Alexander Dr., Traverse City, MI 49696 2017-06-08
1407383490 Cassandra Mccarty Behavior Technician 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 2017-05-22
1346776317 Kaitlynd Hamstra Behavior Technician 304 Christina Lane, Traverse City, MI 49696 2017-05-11
1831526748 Helena Kay Evans Home Health Aide 176 Island View Dr., Traverse, MI 49696 2013-10-09
1932543295 Quality Elder Care L.L.C. In Home Supportive Care 2141 Blackforest Ln, Traverse, MI 49696 2013-04-17
1134462195 Tc Chiropractic PC Chiropractor 1000 3 Mile Road, Traverse City, MI 49696 2013-03-28
1134663594 Keith Finley Behavioral Analyst 1363 Douglas Dr, Traverse City, MI 49696 2016-12-05
1295755122 Northwest Senior Resources Incorporated Case Management 1609 Park Dr, Traverse City, MI 49696-5946 2006-07-21
Find all providers in zip 49696

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750926135 Sarah E Schin Speech-Language Pathologist 2389 Twin Eagles Dr, Traverse City, MI 49686-9308 2019-11-09
1134785355 Paula Jean Austin Speech-Language Pathologist 771 S West Silver Lake Rd, Traverse City, MI 49685-8530 2019-05-13
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1194262824 Beth Westrate Speech-Language Pathologist 437 1/2 W 7th St, Traverse City, MI 49684-2430 2017-01-19
1942639422 Rena Spencer Speech-Language Pathologist 5208 Liberty Dr, Traverse City, MI 49685-9737 2013-11-05
1447696299 Linda Rysberg Speech-Language Pathologist 2489 N Us Hwy 31 N, Traverse City, MI 49686-3700 2013-05-21
1992902431 Kristen Thomas Speech-Language Pathologist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2007-06-28
1265054936 Erynne Louise Russell Speech-Language Pathologist 550 Munson Ave, Traverse City, MI 49686-3580 2020-05-15
1821624545 Susan Carol Spencer Speech-Language Pathologist 550 Munson Ave, Traverse City, MI 49686-3580 2020-03-13
1124669502 Alyssa Jane Westmaas Speech-Language Pathologist 1810 Chartwell Dr, Traverse City, MI 49696-9283 2019-10-07
Find all providers in TRAVERSE CITY

Competitor

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City TRAVERSE CITY
Zip Code 49696

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Dataset Information

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.

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