MISS JUSTINE MARGARET DISTEFANO


Address: 124 Lakeside Dr, Apt #526, Saint Charles, IL 60174-7910
Phone: 7164008109

MISS JUSTINE MARGARET DISTEFANO (NPI# 1538536388) 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) 1538536388
Entity Type Individual
Full Name MISS JUSTINE MARGARET DISTEFANO
Credential M.ED.
Practice Address 124 Lakeside Dr
Apt #526
Saint Charles
IL 60174-7910
Practice Telephone 7164008109
Mailing Telephone 7164008109
Enumeration Date 2015-08-27
Last Update Date 2015-08-27
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 124 LAKESIDE DR
APT #526
City SAINT CHARLES
State IL
Zip Code 60174-7910

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1306474192 Halinas Residential Home Care Registered Nurse 825 North Fifth Avenue, St. Charles, IL 60174 2020-03-29
1205354503 Connor Lavallie Chiropractor 240 W River Dr, St Charles, IL 60174 2017-09-07
1427579952 Melanie Elizabeth Long Counselor 5n147 Oak Leaf Ct, St Charles, IL 60174 2017-07-06
1255860656 Hannah Elizabeth Gambrel Counselor 12 South 7th Avenue, St. Charles, IL 60174 2017-06-08
1275981490 Anju Patel Pharmacist 2038 Praire St, St. Charles, IL 60174 2016-05-27
1316328529 Allison Jensen Dentist 11 S. 2nd Ave #11, St. Charles, IL 60174 2015-06-12
1225466576 Chelsea Wright Social Worker 522 W Main St Unit 2d, St Charles, IL 60174 2013-10-24
1114261427 Bryan R. Cichon Dds PC Dentist 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 2012-11-27
1124372289 Stacey Lynn Conner Developmental Therapist 910 Manley Rd, St. Charles, IL 60174 2012-10-28
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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
1275188039 Raeann Marie Myers Speech-Language Pathologist 3489 Boschertown Rd, Saint Charles, MO 63301-3213 2019-08-07
1073172995 Eric Forst Speech-Language Pathologist 715 Indiana Ave, Saint Charles, IL 60174-3135 2019-06-13
1669039632 Jessica Oneil Speech-Language Pathologist 113 Starry Night Way, Saint Charles, MO 63301-8454 2019-05-23
1245719392 Beth Allyson Mcdonald Speech-Language Pathologist 2357 Cabric Dr, Saint Charles, MO 63301-5028 2018-08-09
1134645898 Amy Rose Speech-Language Pathologist 500 Discovery Path Ln, Saint Charles, MO 63301-0114 2017-08-15
1659895480 Melissa Zemke Speech-Language Pathologist 2195 Highway V, Saint Charles, MO 63301-6004 2017-08-02
1932623097 Michelle Marie Schulte Speech-Language Pathologist 2135 Highway V, Saint Charles, MO 63301-6004 2017-07-31
1467904839 Heather Lilledahl Speech-Language Pathologist 2800 Old Muegge Road, Saint Charles, MO 63303 2016-11-01
1093261760 Amanda Alfaro Speech-Language Pathologist 40 W 310 Lafox Rd, Suite A1/b1, Saint Charles, IL 60175-7745 2016-08-31
1265887608 Amanda Wilson Speech-Language Pathologist 4031 San Fernando Ln, Saint Charles, MO 63304-2831 2016-05-03
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Competitor

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City SAINT CHARLES
Zip Code 60174

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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