MRS. TAMARA LANE WILLMORE


Address: 409 E Park St, Benton, IL 62812-1920
Phone: 6184397231

MRS. TAMARA LANE WILLMORE (NPI# 1326567371) 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) 1326567371
Entity Type Individual
Full Name MRS. TAMARA LANE WILLMORE
Credential M.S., CCC-SLP
Practice Address 409 E Park St
Benton
IL 62812-1920
Mailing Address 606 S Binkley St
West Frankfort
IL 62896-3007
Practice Telephone 6184397231
Mailing Telephone 6189328559
Enumeration Date 2017-09-11
Last Update Date 2017-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146005821 IL Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 1609901784 05

Office Location

Street Address 409 E PARK ST
City BENTON
State IL
Zip Code 62812-1920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255859351 Brittania Marie Webb Speech-Language Pathologist 409 E Park St, Benton, IL 62812-1920 2017-09-08
1831700509 Amy M Weaver Psychologist 409 E Park St, Benton, IL 62812-1920 2020-08-14
1922618362 Kelly Lynn Dill Psychologist 409 E Park St, Benton, IL 62812-1920 2020-07-31
1619518081 Alexys Hayes Speech-Language Pathologist 409 E Park St, Benton, IL 62812-1920 2019-10-07
1740709195 Chelsea Steele Speech-Language Pathologist 409 E Park St, Benton, IL 62812-1920 2017-09-18
1447779558 Sheila Murphy Foster Speech-Language Pathologist 409 E Park St, Benton, IL 62812-1920 2017-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417472739 City of Benton Ambulance 107 N. Maple St., Benton, IL 62812 2017-08-08
1982955712 National Healthcare of Mt Vernon Inc Clinic/Center 905 W Washington St Ste A, Benton, IL 62812 2012-09-19
1255647129 Centerstone of Illinois, Inc Counselor 409 South George Street, Benton, IL 62812 2010-08-30
1215184635 Darla Joe Allan Emergency Medicine 501 Du Quoin St, Benton, IL 62812 2008-08-27
1770752362 Rlh Anesthesia Service PC Nurse Anesthetist, Certified Registered 86 Skiers Run, Benton, IL 62812 2008-02-27
1508070764 Kevin B Delatour Dentist 808 North Main, Benton, IL 62812 2007-05-09
1801014782 Maureen Tinsley Occupational Therapist 9 Rend Lake Plaza, Benton, IL 62812 2007-04-23
1154485316 Carmen J House Chiropractor 106 West Washington Street, Benton, IL 62812 2006-12-21
1548240211 Christopher Greater Area Rural Health Planning Corp Family Medicine Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 2006-01-19
1477531192 David Frank Szoke Emergency Medicine 905 West Washington, Benton, IL 62812 2006-01-03
Find all providers in zip 62812

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
1932728292 Carlie Bourland Speech-Language Pathologist 256 Bondurant Ln, Benton, KY 42025-5726 2020-04-15
1881182152 Kristen Grace Farley Speech-Language Pathologist 74 Carriage Ln, Benton, KY 42025-5309 2018-04-23
1255859351 Brittania Marie Webb Speech-Language Pathologist 409 E Park St, Benton, IL 62812-1920 2017-09-08
1295253383 Lisa Page Speech-Language Pathologist 1000 E Mckenzie St, Benton, IL 62812-3352 2017-09-08
1477078673 Pediatric Therapy Partners LLC Speech-Language Pathologist 16085 Highway 157, Benton, LA 71006-4707 2017-08-08
1396269627 Abby G Sims Speech-Language Pathologist 3391 Peachtree Lane, Benton, AR 72015 2017-07-28
1902333933 Aaron Bean Speech-Language Pathologist 2909 Silverton Dr, Benton, AR 72019-8367 2017-05-22
1144761362 Chelsea Chamberlain Speech-Language Pathologist 237 Morgan Ct, Benton, LA 71006-4832 2017-03-20
1104379478 Victoria Seale Speech-Language Pathologist 302 Merril Dr, Benton, AR 72015-4997 2016-08-03
1720453939 Jill Slayden Speech-Language Pathologist 1422 Moors Camp Hwy, Benton, KY 42025-8269 2015-12-14
Find all providers in BENTON

Competitor

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City BENTON
Zip Code 62812

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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