MARY THERESA VANDIVER
NPI 1063928430
Speech-Language Pathologist in Heyworth, IL

Q: What is Mary Vandiver's NPI number?

The NPI number for Mary Vandiver is 1063928430. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Q: What is Mary Vandiver's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Vandiver was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2017

100 S JOSELYN ST, HEYWORTH, IL 61745(309) 473-2822 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Theresa Vandiver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY THERESA VANDIVER (NPI 1063928430) is an individual speech-language pathologist provider in Heyworth, Illinois, licensed in Illinois (146.006321) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1063928430

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMARY THERESA VANDIVER

Location Address100 S JOSELYN STHeyworth, IL 61745-9191

Mailing Address100 S Joselyn StHeyworth, IL 61745-9191 · (309) 473-2822

Phone(309) 473-2822

Sole ProprietorNo

Enumeration DateDecember 21, 2017

✔ NPI 1063928430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IL · 146.006321

Definition

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.

100 S JOSELYN ST, Heyworth, IL 61745

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MOLLY LYNN POST SLP

Speech-Language Pathologist

100 S JOSELYN ST
HEYWORTH, IL 61745

McLean County (309) 473-2822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vandiver's NPI number?

The NPI number for Mary Vandiver is 1063928430. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Mary Vandiver located?

Mary Vandiver practices at 100 S Joselyn St, Heyworth, IL 61745. The listed phone number is (309) 473-2822.

What is Mary Vandiver's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Vandiver was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.