MIRANDA J GULLBERG MS, CCC-SLP
NPI 1194249268
Speech-Language Pathologist in Biggsville, IL

Active since July 31, 2017
1514 US ROUTE 34, BIGGSVILLE, IL 61418(309) 627-2339 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miranda J Gullberg Ms, Ccc-slp NPPES

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

MIRANDA J GULLBERG MS, CCC-SLP (NPI 1194249268) is an individual speech-language pathologist provider in Biggsville, Illinois, licensed in Illinois (146012643) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1194249268
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIRANDA J GULLBERGCredential: MS, CCC-SLP
Location Address1514 US ROUTE 34Biggsville, IL 61418-5012
Mailing Address1514 Us Route 34Biggsville, IL 61418-5012 · (309) 627-2339
Sole ProprietorNo
Enumeration DateJuly 31, 2017
NPI 1194249268 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 · 146012643
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.

1514 US ROUTE 34, Biggsville, IL 61418

Other Names 1

Former Name (1)Miranda J Clark Ms, Ccc-slp

Other Providers at the Same Location NPPES 3

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

Registered Nurse (School)
1514 US ROUTE 34
BIGGSVILLE, IL 61418
Psychologist (School)
1514 US ROUTE 34
BIGGSVILLE, IL 61418
Psychologist (School)
1514 US ROUTE 34
BIGGSVILLE, IL 61418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194249268, enumerated as an "individual" on July 31, 2017.

The provider is located at 1514 US ROUTE 34 BIGGSVILLE, IL 61418 and the phone number is (309) 627-2339.

Speech-Language Pathologist with taxonomy code 235Z00000X.