MRS. KAYLA DALENE WATERMAN


Address: 1010 Moye School Rd, O Fallon, IL 62269-6841
Phone: 6182062300

MRS. KAYLA DALENE WATERMAN (NPI# 1063930774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063930774
Entity Type Individual
Full Name MRS. KAYLA DALENE WATERMAN
Credential MS, CCC-SLP
Practice Address 1010 Moye School Rd
O Fallon
IL 62269-6841
Mailing Address 928 Jordan
O Fallon
IL 62269-6849
Practice Telephone 6182062300
Mailing Telephone 6184441750
Enumeration Date 2017-09-01
Last Update Date 2017-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.012672 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 1010 MOYE SCHOOL RD
City O FALLON
State IL
Zip Code 62269-6841

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083215768 Tracie Lee Beckmann Speech-Language Pathologist 731 Falcon Hill Trl, O Fallon, MO 63368-8194 2020-11-08
1134603954 Kelsey Erin Heisserer Speech-Language Pathologist 8970 Mexico Rd, O Fallon, MO 63366-7505 2018-09-18
1558859025 Kelsey Stradtner Speech-Language Pathologist 828 Park Entrance Pl Apt 1, O Fallon, IL 62269-2761 2018-04-30
1053829952 Victoria Amber Taverner Speech-Language Pathologist 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 2018-01-14
1760991913 Caitlyn Schroeder Speech-Language Pathologist 522 Savannah Garden Dr, O Fallon, MO 63366-3223 2017-09-20
1487171955 Kathleen Mary Wolf Speech-Language Pathologist 505 S Cherry St, O Fallon, IL 62269-2043 2017-08-25
1023534310 Amy Grosch Speech-Language Pathologist 610 Prince Ruppert Dr, O Fallon, MO 63366-1802 2017-08-17
1669997193 Shane Kapler Speech-Language Pathologist 250 Fallon Pkwy, O Fallon, MO 63368-7325 2017-08-05
1316494180 Kristin Elizabeth Knoop Speech-Language Pathologist 150 Waterford Crossing Dr, O Fallon, MO 63368-7135 2016-09-08
1881148971 Rebecca Rosenthal Speech-Language Pathologist 269 Shady Rock Ln, O Fallon, MO 63368-7471 2016-08-07
Find all providers in O FALLON

Competitor

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City O FALLON
Zip Code 62269

Improve Information

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Dataset Information

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.

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