Tara McKay Powers

Speech-Language Pathologist, in O Fallon, IL. Individual provider (NPI-1).

NPI number1124476957

StatusActive

Last updated in NPPESNov 4, 2022

Details

NPI: 1124476957
Entity type: Individual (NPI-1)
Name: Tara McKay Powers
Sex: Female
Sole proprietor: No
Enumeration date: Jun 2, 2016
Certification date: Nov 4, 2022
Last updated: Nov 4, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	146012948	IL	Yes
235Z00000X	Speech-Language Pathologist,	2016007624	MO

Practice location

1022 E Wesley Dr
O Fallon, IL 62269-6136

Phone 618-607-5081

Mailing address

967 Blackjack Rd
Troy, IL 62294-2723

Phone 618-670-2352

Is something wrong?

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Other Speech-Language Pathologist providers in O Fallon, IL

All 72 Speech-Language Pathologist providers in O Fallon · All 1,289 providers in O Fallon

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