CARLY ANN CHEATHAM NPI 1386376820

NPI Information

  • NPI: 1386376820
  • Provider Name: CARLY ANN CHEATHAM
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 4450 N PROSPECT RD STE C5
    PEORIA HEIGHTS, IL
    ZIP 61616
  • Phone: (309) 363-7594

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NPI Details

Carly Ann Cheatham is a speech language pathologist in Peoria Heights, 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. Carly Ann Cheatham NPI is 1386376820. 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:

4450 N PROSPECT RD STE C5
PEORIA HEIGHTS, IL
ZIP 61616-578
Phone: (309) 363-7594
Fax: (309) 966-3621

The enumeration date for this NPI number is 6/24/2022 and was last updated on 6/24/2022.

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 PathologistC350-1019-7862ILLINOISYes

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
1C350-1019-7862OTHERILLINOISSTATE LICENSE

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: 11/21/2025

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