MS. LISA R CUNDALL (NPI# 1982856803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982856803 |
| Entity Type | Individual |
| Full Name | MS. LISA R CUNDALL |
| Credential | M.S. |
| Practice Address |
414 Hillside Dr Collinsville IL 62234-1349 |
| Practice Telephone | 6183444697 |
| Mailing Telephone | 6183444697 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.008108 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
414 HILLSIDE DR |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1669073912 | Meghan Jacqueline Robitaille | Speech-Language Pathologist | 48 Dyer Ave, Collinsville, CT 06019-3028 | 2020-11-03 |
| 1548818024 | Laura O'hara | Speech-Language Pathologist | 123 W Clay St, Collinsville, IL 62234-3205 | 2019-08-28 |
| 1932691144 | Natalie Rae Sipole | Speech-Language Pathologist | 7211 Lebanon Rd, Collinsville, IL 62234-7513 | 2018-06-04 |
| 1033609409 | Anna Victoria Stewart | Speech-Language Pathologist | 11790 Pine Grove Rd, Collinsville, MS 39325 | 2018-05-11 |
| 1568977007 | Jane Clarkston | Speech-Language Pathologist | 1841 Vandalia St, Collinsville, IL 62234-4854 | 2017-12-06 |
| 1821501602 | Jessica Blake | Speech-Language Pathologist | 9000 College St, Collinsville, IL 62234-1701 | 2017-11-15 |
| 1407213259 | Julie Menk | Speech-Language Pathologist | 68 N Valley Ave, Collinsville, AL 35961-3330 | 2016-01-25 |
| 1598022568 | Melissa Renee Walden | Speech-Language Pathologist | 1207 West Vandalia Avenue, Collinsville, IL 62234-4092 | 2012-04-16 |
| 1730464082 | Barbara Whitteberry Zachs | Speech-Language Pathologist | 64 Maple Ave, Collinsville, CT 06019-3035 | 2011-10-19 |
| 1790071538 | Lynda Compton Adkins | Speech-Language Pathologist | 271 Homestead Trl, Collinsville, VA 24078-3096 | 2011-06-20 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on MS. LISA R CUNDALL.
| 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.