Payton Chandler, SLP
Speech-Language Pathologist, in Bloomington, IL. Individual provider (NPI-1).
NPI number1164098307
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1164098307
- Entity type
- Individual (NPI-1)
- Name
- Payton Chandler
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2021
- Certification date
- May 28, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 242005726 | IL | Yes |
Practice location
2103 N Veterans Pkwy Ste 328Bloomington, IL 61704-0917
Phone 309-948-6469 · Fax 309-807-4453
Mailing address
1377 Motor Pkwy Ste 307Islandia, NY 11749-5258
Phone 914-294-4050 · Fax 631-760-8306
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All 71 Speech-Language Pathologist providers in Bloomington · All 2,449 providers in Bloomington
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