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STEPHANIE RAE GREEN
NPI 1447766290
Speech-Language Pathologist in Mount Vernon, IL

Active since December 15, 2017
401 N 30TH ST, MOUNT VERNON, IL 62864(618) 244-8068(618) 244-8075 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Rae Green NPPES

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

STEPHANIE RAE GREEN (NPI 1447766290) is an individual speech-language pathologist provider in Mount Vernon, Illinois, licensed in Illinois (146003822) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1447766290
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTEPHANIE RAE GREEN
Location Address401 N 30TH STMount Vernon, IL 62864-2355
Mailing Address14785 N Pump House LnMount Vernon, IL 62864-8750 · (618) 244-8068 · Fax (618) 244-8075
Phone(618) 244-8068
Fax(618) 244-8075
Sole ProprietorNo
Enumeration DateDecember 15, 2017
✔ NPI 1447766290 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 · 146003822
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.
401 N 30TH ST, Mount Vernon, IL 62864
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Other Identifiers 1

Medicaid363028IL

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. CASEY RYAN MS, CCC-SLP
Speech-Language Pathologist
401 N 30TH ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-8068

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 Stephanie Green's NPI number?

The NPI number for Stephanie Green is 1447766290. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Stephanie Green located?

Stephanie Green practices at 401 N 30th St, Mount Vernon, IL 62864. The listed phone number is (618) 244-8068.

What is Stephanie Green'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 Stephanie Green was last updated on December 15, 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.