MRS. ALYCIA LEANE CARROLL (NPI# 1336620087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336620087 |
| Entity Type | Individual |
| Full Name | MRS. ALYCIA LEANE CARROLL |
| Credential | MS, CCC-SLP |
| Practice Address |
1605 E Oakland Ave Bloomington IL 61701-5617 |
| Mailing Address |
1106 Ironwood Cc Dr Normal IL 61761-5233 |
| Practice Telephone | 3096624302 |
| Mailing Telephone | 3097063044 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146009500 | IL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 E Monroe St, Bloomington, IL 617014028 | 3098276031 |
| Street Address |
1605 E OAKLAND AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542067 | Kathleen T Schlais | Speech-Language Pathologist | 605 Bradley Dr Apt C, Bloomington, IL 61701-2244 | 2020-03-10 |
| 1134789936 | Sara Jean Farmer | Speech-Language Pathologist | 2001 S Morris Ave Apt 5, Bloomington, IL 61704-7513 | 2019-06-14 |
| 1538638614 | Erin Elizabeth Gratzer | Speech-Language Pathologist | 963 S State Road 446, Bloomington, IN 47401-8813 | 2018-11-18 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1386198778 | Nicole Marie Hartke | Speech-Language Pathologist | 3122 Rudder Ln Apt 105, Bloomington, IL 61704-8203 | 2016-08-15 |
| 1912385394 | Melissa Velazquez | Speech-Language Pathologist | 618 S Bobcat Bnd, Bloomington, IN 47403-8011 | 2015-05-18 |
| 1124410907 | Marie Houghton | Speech-Language Pathologist | 16 Cashel Dr, Bloomington, IL 61704-4134 | 2015-03-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on MRS. ALYCIA LEANE CARROLL.
| 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.