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Stephanie Rae Green
Speech-Language Pathologist in Mount Vernon, Illinois
NPI 1447766290

Stephanie Rae Green is a Speech-Language Pathologist based in Mount Vernon, IL. Stephanie Rae Green practices in Mount Vernon, IL. The NPI Number for Stephanie Rae Green is 1447766290 and holds a License No. 146003822 (Illinois).

The current practice location address for Stephanie Rae Green is 401 N 30Th St, Mount Vernon, IL and can be reached out via phone at 618-244-8068 and via fax at 618-244-8075. You can also correspond with Stephanie Rae Green through the mailing address at 14785 N PUMP HOUSE LN, MOUNT VERNON, IL - 62864-8750 (mailing address contact number: 618-244-8068).

Location: 401 N 30Th St, Mount Vernon, IL, 62864-8750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447766290
Provider Name
Stephanie Rae Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 N 30Th St, Mount Vernon, IL, 62864-8750
Phone Number
618-244-8068
Fax Number
618-244-8075
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363028 05 IL
institution
Provider Business Practice Location Address Details
Address
401 N 30Th St
City
Mount Vernon
State
Illinois
Zip
62864-2355
Phone Number
618-244-8068
Fax Number
618-244-8075
person
Provider Business Mailing Address Details
Address
14785 N Pump House Ln
City
Mount Vernon
State
Illinois
Zip
62864-8750
Phone Number
618-244-8068
Fax Number
618-244-8075
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
146003822 (Illinois)
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.
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