KOR SPEECH THERAPY, LLC (NPI# 1518476639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518476639 |
| Entity Type | Organization |
| Organization Name | KOR SPEECH THERAPY, LLC |
| Other Organization Name | STACEY KILLEEN |
| Practice Address |
219 Primrose Dr. Dyer IN 46311 |
| Practice Telephone | 2197421400 |
| Practice Fax Number | 2198092674 |
| Mailing Telephone | 2197421400 |
| Mailing Fax Number | 2198092674 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MRS. STACEY LYNN KILLEEN (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 2197421400 |
| Authorized Official Credential | M.A. CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 146006920 | IL | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 22005278A | IN | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Stacey Killeen | Doing Business As Name - Organization |
| Street Address |
219 PRIMROSE DR. |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| 1558585554 | Laura Daray Hoffman | Dermatology | 919 Main St Ste 201, Dyer, IN 46311 | 2007-04-12 |
| Find all providers in zip 46311 | ||||
| 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 |
|---|---|---|---|---|
| 1568979177 | Gibson County Special School District | Speech-Language Pathologist | 130 Trenton Hwy, Dyer, TN 38330-4239 | 2018-01-04 |
| 1215216544 | Stephanie Marie Stuebe | Speech-Language Pathologist | 3125 Peschel Ct, Dyer, IN 46311-1232 | 2011-08-04 |
| 1053618298 | Cassandra Prestininzi | Speech-Language Pathologist | 353 W Broad St, Dyer, TN 38330-1405 | 2011-02-24 |
| 1841360690 | Stacey Lynn Killeen | Speech-Language Pathologist | 219 Primrose Dr, Dyer, IN 46311-4632 | 2006-11-09 |
| 1053379396 | Cathy J Puch | Speech-Language Pathologist | 1501 Joliet Street, Unit B2, Dyer, IN 46311 | 2006-05-03 |
| 1336799345 | Hannah R Opat | Speech-Language Pathologist | 440 Edmond Dr, Dyer, IN 46311-1523 | 2019-09-12 |
| 1023675329 | Amy Michele Howe | Speech-Language Pathologist | 130 Trenton Hwy, Dyer, TN 38330-4239 | 2019-05-22 |
| 1255813085 | Lisa Marie Siler | Speech-Language Pathologist | 130 Trenton Hwy, Dyer, TN 38330-4239 | 2018-08-29 |
| 1871074963 | April Moran | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| 1275014375 | Mary Francine Davidson I | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| Find all providers in DYER | ||||
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| 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.