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MRS. EVANA RUTH SANDUSKY CCC-SLP NPI 1689737801


NPI Information

NPI: 1689737801
Provider Name: MRS. EVANA RUTH SANDUSKY, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
9689 COUNTY ROAD 975 N
MC LEANSBORO, IL
ZIP 62859
Phone: (618) 967-2113
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MRS. Evana Ruth Sandusky, CCC-SLP is a speech language pathologist in Mc Leansboro, IL. The provider is 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. MRS. Evana Ruth Sandusky, CCC-SLP NPI is 1689737801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9689 COUNTY ROAD 975 N
MC LEANSBORO, IL
ZIP 62859-089
Phone: (618) 967-2113
Fax: (618) 643-3916

The enumeration date for this NPI number is 12/18/2006 and was last updated on 5/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist146.008291ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103332004OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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