Sara Ann Bronson, MS CCC SLP
Speech-Language Pathologist, in Bloomington, IL. Individual provider (NPI-1).
NPI number1235487489
StatusActive
Last updated in NPPESAug 20, 2012
Details
- NPI
- 1235487489
- Entity type
- Individual (NPI-1)
- Name
- Sara Ann Bronson
- Credential
- MS CCC SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2012
- Last updated
- Aug 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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, | 146.001665 | IL | Yes |
Practice location
2200 E Washington StBloomington, IL 61701-4364
Phone 309-662-2500 · Fax 309-662-1628
Mailing address
2200 E Washington StBloomington, IL 61701-4364
Phone 309-662-2500 · Fax 309-662-1628
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Bloomington, IL
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All 71 Speech-Language Pathologist providers in Bloomington · All 2,449 providers in Bloomington
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