MRS. DEVIDA MICHELLE BRAVERMAN


Address: 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-5263
Phone: 8479187947

MRS. DEVIDA MICHELLE BRAVERMAN (NPI# 1386724060) 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) 1386724060
Entity Type Individual
Full Name MRS. DEVIDA MICHELLE BRAVERMAN
Credential M.A., CCC-SLP
Practice Address 1800 Hollister Dr
Suite 205
Libertyville
IL 60048-5263
Mailing Address 912 Saugatuck Trl
Vernon Hills
IL 60061-3243
Practice Telephone 8479187947
Practice Fax Number 8479189622
Mailing Telephone 8473622971
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 1800 HOLLISTER DR
SUITE 205
City LIBERTYVILLE
State IL
Zip Code 60048-5263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508862384 Ronald Lee Freeman Ophthalmology 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 2005-06-25
1679957518 Dana Beth Cohen Social Worker 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2015-07-09
1063833796 Diane M Bailey Yoder Counselor 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-12-24
1053755538 Jenny M. Siddiqi Psychologist 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-04-26
1649583501 Megan Claire Kawadza Occupational Therapist 1800 Hollister Dr, Ste 205, Libertyville, IL 60048-5263 2010-07-21
1417277930 Erika Lynch Physician Assistant 1800 Hollister Dr, Ste 102, Libertyville, IL 60048-5263 2010-06-07
1669625406 Marisa Maria Kunz Psychologist 1800 Hollister Dr, Libertyville, IL 60048-5263 2008-10-24
1720252323 Elizabeth Ann Cole Physical Therapist 1800 Hollister Dr, 205, Libertyville, IL 60048-5263 2008-04-15
1033381140 Gurnee Radiology Center, LLC Radiology 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 2008-03-28
1477749430 Elizabeth K Baruffi Physician Assistant 1800 Hollister Dr, Suite 102, Libertyville, IL 60048-5263 2007-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
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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
1265044358 Samantha Kate Townsend Speech-Language Pathologist 1007 Mayfair Dr, Libertyville, IL 60048-3548 2020-08-19
1073070835 Andrea Rene Dell'aquila Speech-Language Pathologist 1288 Briarwood Ln, Libertyville, IL 60048-3630 2019-02-27
1508320268 Skyler Alanna Stohle Speech-Language Pathologist 1107 W Park Ave, Libertyville, IL 60048-2552 2019-01-28
1417443607 Melissa Diana Fiocchi Speech-Language Pathologist 800 S Milwaukee Ave Ste 220, Libertyville, IL 60048-3217 2018-07-10
1285126300 Lauren Deanne Tasiopoulos Speech-Language Pathologist 1880 W Winchester Rd Ste 201, Libertyville, IL 60048-5336 2018-06-04
1326554627 Michelle Smith Speech-Language Pathologist 310 W Rockland Rd, Libertyville, IL 60048-2739 2017-12-21
1881100485 Casie Derose Speech-Language Pathologist 1441 Lake St, Libertyville, IL 60048-1731 2017-12-18
1265947519 Kristin Kovacek Speech-Language Pathologist 1740 N Milwaukee Ave, Libertyville, IL 60048-1317 2017-12-08
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1700259439 Naomi Ruth Nordell Speech-Language Pathologist 143 School St, Libertyville, IL 60048-2026 2015-11-03
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Competitor

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City LIBERTYVILLE
Zip Code 60048

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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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