MRS. ANITA SUE LIDY


Address: 1017 W Fletcher St, Vandalia, IL 62471-1007
Phone: 6182835166

MRS. ANITA SUE LIDY (NPI# 1225554959) 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) 1225554959
Entity Type Individual
Full Name MRS. ANITA SUE LIDY
Credential MS, CCC-SLP
Practice Address 1017 W Fletcher St
Vandalia
IL 62471-1007
Mailing Address 93 E 1125 Ave
Mulberry Grove
IL 62262-3509
Practice Telephone 6182835166
Mailing Telephone 6182929613
Enumeration Date 2017-08-15
Last Update Date 2017-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.005588 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 1017 W FLETCHER ST
City VANDALIA
State IL
Zip Code 62471-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285143107 Tamara L Siebert Speech-Language Pathologist 1017 W Fletcher St, Vandalia, IL 62471-1007 2017-09-22
1063938702 Kimberly Diane Peppler Speech-Language Pathologist 1017 W Fletcher St, Vandalia, IL 62471-1007 2017-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083924740 Micah Brasel Optometrist 300 W Randolph, Vandalia, IL 62471 2010-10-15
1154635332 Marion Eye Centers Ltd. Durable Medical Equipment & Medical Supplies 300 West Randolph, Vandalia, IL 62471 2010-07-30
1972771699 Community Resource Center Community Based Residential Treatment Facility, Mental Illness 423 W Main, Vandalia, IL 62471 2008-02-15
1952429078 Julie M Gordon Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-27
1033200183 Penny Attaway Nurse Practitioner 1404 N 5th Street, Vandalia, IL 62471 2006-09-27
1588773089 Pain Relief Center of Vandalia Inc Chiropractor 100 N Kennedy Blvd, Vandalia, IL 62471 2006-08-29
1811003551 Fayco Enterprises Inc Day Training, Developmentally Disabled Services 1313 Sunset Drive, Vandalia, IL 62471 2006-08-23
1174585384 Vandalia Physical Therapy Ltd Physical Therapist 126 S. 1st St., Vandalia, IL 62471 2006-04-04
1548221799 Arkom Chulamorkodt Family Medicine 606 W Jackson St, Vandalia, IL 62471 2006-03-29
1568581163 Ashley Hadowsky Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-28
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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
1982211868 Sheila Dean Speech-Language Pathologist 500 S Dixie Dr, Vandalia, OH 45377-2544 2020-09-25
1538515697 Nancy Renee Copeland Speech-Language Pathologist 1010 E National Rd, Vandalia, OH 45377-3204 2016-05-09
1144548678 Elizabeth M Stiffler Speech-Language Pathologist 611 Randler Ave, Vandalia, OH 45377-1406 2010-05-07
1124281662 Linda Fay Witte Speech-Language Pathologist 46232 Highway V, Vandalia, MO 63382-3808 2008-07-03
1316072903 Lisa Jean Wise Speech-Language Pathologist 2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 2007-02-22
1801945720 Jessica Satterthwaite Speech-Language Pathologist Rr 1 Box 385a, Vandalia, IL 62471-9794 2007-01-09
1508925280 Jody L. Horner Speech-Language Pathologist 2122 Audrain Road, Vandalia, MO 63882 2006-12-08
1285143107 Tamara L Siebert Speech-Language Pathologist 1017 W Fletcher St, Vandalia, IL 62471-1007 2017-09-22
1063938702 Kimberly Diane Peppler Speech-Language Pathologist 1017 W Fletcher St, Vandalia, IL 62471-1007 2017-08-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780285429 Lily Heine Speech-Language Pathologist 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 2020-11-07
1194326363 Cheryl Clemens Speech-Language Pathologist 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 2020-11-04
1164022588 Mary Kate Zagotta Speech-Language Pathologist 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 2020-10-26
1942809231 Progress To Success Speech Therapy Pllc Speech-Language Pathologist 4940 Wilderness Pt, Smithton, IL 62285-3664 2020-10-19
1134727134 Madison Frazier Speech-Language Pathologist 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 2020-10-12
1295332617 Rachel Raffalo Speech-Language Pathologist 1050 S Euclid Ave, Elmhurst, IL 60126-5169 2020-10-08
1336746809 Karen M Olson Speech-Language Pathologist 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 2020-10-07
1255938908 Norma Laura Gregorio-perez Speech-Language Pathologist 1601 E Main St # G, St Charles, IL 60174-2431 2020-10-06
1073110227 Erin Koester Speech-Language Pathologist 633 County Highway 22, Cowden, IL 62422-4104 2020-10-01
1609483072 Claire Elaine Rayburn Speech-Language Pathologist 2142 W Walton St Apt 2, Chicago, IL 60622-4893 2020-09-29
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Competitor

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City VANDALIA
Zip Code 62471

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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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