MRS. TERESA IVA DOUGLAS (NPI# 1861876559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861876559 |
| Entity Type | Individual |
| Full Name | MRS. TERESA IVA DOUGLAS |
| Credential | M.S., CCC-SLP |
| Practice Address |
4515 Quail Creek Dr Quincy IL 62305-8800 |
| Practice Telephone | 2177790333 |
| Mailing Telephone | 2177790333 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.009793 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144491903 | Teresa Gutierrez Douglas | Occupational Therapist | 7616 Culebra Rd Ste 115, San Antonio, TX 78251-1476 | 2008-03-19 |
| Street Address |
4515 QUAIL CREEK DR |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| 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 |
|---|---|---|---|---|
| 1457952525 | Michaela Cataldo | Speech-Language Pathologist | 169 Beale St, Quincy, MA 02170-3340 | 2020-11-05 |
| 1700376142 | Mary Claire Wofford | Speech-Language Pathologist | 101 N Madison St, Quincy, FL 32351-2410 | 2018-05-11 |
| 1659898260 | Samantha Haley | Speech-Language Pathologist | 1373 Janelle Ln, Quincy, IL 62305-0196 | 2017-08-24 |
| 1528509775 | Alyson Louise Shaheen | Speech-Language Pathologist | 6 Fallon Ct, Quincy, MA 02169-4155 | 2017-03-20 |
| 1538576368 | Meaghan Anne Sullivan | Speech-Language Pathologist | 23 Chestnut Way, Apt. 512, Quincy, MA 02169 | 2014-07-14 |
| 1457690455 | North Florida Therapy Services, Inc. | Speech-Language Pathologist | 104 E Washington St Ste 1a, Quincy, FL 32351-2461 | 2013-02-11 |
| 1104196088 | Trisha M. Hilgenbrinck | Speech-Language Pathologist | 2450 College Ave, Quincy, IL 62301-3528 | 2012-01-09 |
| 1588932198 | Nicole Lyons | Speech-Language Pathologist | 214 N 25th St, Quincy, IL 62301-3203 | 2011-12-09 |
| 1649554783 | Rebecca Lee Traver | Speech-Language Pathologist | 16 Moon Island Rd, Quincy, MA 02171-1034 | 2011-10-07 |
| 1609175710 | Tricia Beth Arnsman | Speech-Language Pathologist | 1919 E 850th Pl, Quincy, IL 62305-0038 | 2011-03-15 |
| Find all providers in QUINCY | ||||
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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.