ASEEDAW DEA; (NPI# 1871965707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871965707 |
| Entity Type | Individual |
| Full Name | ASEEDAW DEA; |
| Credential | M.S., CCC, SLP |
| Practice Address |
625 Wham Dr Room 141 Carbondale IL 62901-4313 |
| Practice Telephone | 6184532361 |
| Practice Fax Number | 6184536130 |
| Mailing Telephone | 6184532361 |
| Mailing Fax Number | 6184536130 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146012251 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS DEPT. OF FINANCIAL AND PROFESSIONAL REGULATION | 146012251 | 01 |
| Street Address |
625 WHAM DR ROOM 141 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538303771 | Sherell Marie Sparks | Counselor | 625 Wham Dr, Southern Illinois University Carbondale, Carbondale, IL 62901-4313 | 2009-04-30 |
| 1376917021 | Sarah Kertz | Psychologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-11-18 |
| 1891169629 | Chad Drake | Psychologist | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 | 2015-11-17 |
| 1164656393 | Jenny C Martin | Behavioral Analyst | 625 Wham Dr, Wham 124, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 | 2009-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 1073129383 | Molly Louise Lauterbach | Speech-Language Pathologist | 508 S Wall St Apt 111, Carbondale, IL 62901-3273 | 2020-09-22 |
| 1245759281 | Angela M Jenkins | Speech-Language Pathologist | 1025 N Wall St, Carbondale, IL 62901-1737 | 2017-09-11 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1376060012 | Nancy Ann Fisk | Speech-Language Pathologist | 801 S Lewis Ln, Carbondale, IL 62901-3408 | 2017-08-24 |
| 1508383399 | Melissa Ann Cobin | Speech-Language Pathologist | 121 N Parrish Ln, Carbondale, IL 62901-2024 | 2017-08-23 |
| 1003265166 | Communication Corner Speech Language Therapy LLC | Speech-Language Pathologist | 0402 Summit Drive, Carbondale, CO 81623 | 2016-06-09 |
| 1992152581 | Laurian Dicks Jr. | Speech-Language Pathologist | 70 Canary Rd, Carbondale, IL 62903-7641 | 2016-05-24 |
| 1174997944 | Kathryn Martin | Speech-Language Pathologist | 625 Wham Dr Rm 141, Carbondale, IL 62901-4313 | 2015-11-17 |
| 1811375686 | Shawna Marie Pope | Speech-Language Pathologist | 3578 S Illinois Ave, Carbondale, IL 62903-8364 | 2015-05-13 |
| 1356769905 | Jenna D'alessandro | Speech-Language Pathologist | 44 Clark Ave, Carbondale, PA 18407-1657 | 2014-04-01 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on ASEEDAW DEA;.
| 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.