MISS KATHLEEN ELLEN LONG (NPI# 1720346372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720346372 |
| Entity Type | Individual |
| Full Name | MISS KATHLEEN ELLEN LONG |
| Credential | M.S. CCC-SLP/L |
| Practice Address |
11142 S Campbell Ave Chicago IL 60655-1316 |
| Practice Telephone | 7732398089 |
| Mailing Telephone | 7732398089 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.000279 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1184873259 | Kathleen Long | Acupuncturist | 1137 Second St., #116, Santa Monica, CA 90403 | 2008-09-15 |
| 1407821648 | Kathleen Long | Psychologist | 508 Gray Rd, Windham, ME 04062-4831 | 2006-02-21 |
| 1538139068 | Kathleen Adele Long | Nurse Practitioner | 300 E 8th St Ste 120, Marietta, OH 45750-3379 | 2006-01-26 |
| 1043215403 | Kathleen A. Long | Internal Medicine | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2005-06-14 |
| 1558998633 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 | 2020-03-26 |
| 1083176788 | Kathleen Long | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2019-04-02 |
| 1710367503 | Kathleen Ann Long | Dermatology | 800 Hospital Dr, Columbia, MO 65201-5275 | 2015-06-05 |
| 1295087252 | Kathleen Long | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2012-10-15 |
| 1154514552 | Kathleen Cleadette Long | Counselor | 1608 S Elwood Ave, Tulsa, OK 74119-4208 | 2007-08-20 |
| Street Address |
11142 S CAMPBELL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60655-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632401 | Hillary Woodward Carroll | Nurse Practitioner | 3258 W 111th Chicago, Il, Chicago, IL 60655 | 2019-04-26 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1356700728 | Molly Samansky | Speech-Language Pathologist | 2549 W 106thh Pl, Chicago, IL 60655 | 2016-02-15 |
| 1134533615 | Axis Physical Medicine | Physical Therapist | 11005 S Kedzie Ave, Chicago, IL 60655 | 2014-06-12 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1962772921 | E.m. Branch and Associates, Inc | Social Worker | 3139 W. 111th Street, Chicago, IL 60655 | 2012-01-09 |
| 1922377951 | Patricia Murphy | Counselor | 10435 Kedzie Ave, Chicago, IL 60655 | 2011-12-20 |
| 1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
| 1265678544 | Lawrence Michael Furlan | Dentist | 10900 S Kedzie, Chicago, IL 60655 | 2008-12-17 |
| 1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
| Find all providers in zip 60655 | ||||
| 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 |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
| Find all providers in CHICAGO | ||||
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| 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.