Lia Ellise Draper in Pontiac - Speech-language Pathologist

Lia Ellise Draper - NPI 1871705996

Lia Ellise Draper is a Speech-language Pathologist in Pontiac, Illinois. Lia Ellise Draper practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lia Ellise Draper is 1871705996. The last update date is 2007-07-09.

Lia Ellise Draper's current location address is 2500 W Reynolds St, Pontiac, Illinois. You can contact this provider via phone number 8158422828. The mailing address for Lia Ellise Draper is 2500 W Reynolds St, Pontiac, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lia Ellise Draper
Address 2500 W Reynolds St, Pontiac, Illinois
Phone Number 8158422828
Fax Number
Sole Proprietor N
Credentials MS CCC-SLP

NPI Number Detail

NPI Number 1871705996
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2500 W Reynolds St
City Pontiac
State Illinois (IL)
Post Code 617649774
Phone Number 8158422828
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
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. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
370662570-60 IL --
12037744 IL ASHA

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FAQs about Lia Ellise Draper

What is the Lia Ellise Draper's unique identification number?

The Lia Ellise Draper has been assigned the NPI (National Provider Identifier) Number 1871705996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Lia Ellise Draper is geographically located?

The Lia Ellise Draper is physically situated at the following location: 2500 W Reynolds St, Pontiac, IL, 617649774.

What is Lia Ellise Draper's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lia Ellise Draper is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did the Lia Ellise Draper receive its 1871705996 assignment from the Centers for Medicare & Medicaid Services?

The Lia Ellise Draper was assigned its 1871705996 by the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date was the information regarding Lia Ellise Draper, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lia Ellise Draper, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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