KATHY KELLEY BOOZIOTIS
NPI 1861901647
Speech-Language Pathologist in Carbondale, IL

Active since September 25, 2017
4033 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 529-4151(618) 529-4154 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Kelley Booziotis NPPES

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

KATHY KELLEY BOOZIOTIS (NPI 1861901647) is an individual speech-language pathologist provider in Carbondale, Illinois, licensed in Illinois (146002646) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1861901647
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHY KELLEY BOOZIOTIS
Location Address4033 S ILLINOIS AVECarbondale, IL 62903-8375
Mailing Address811 S Liberty LnCarbondale, IL 62902-5072 · (618) 534-6592
Fax(618) 529-4154
Sole ProprietorYes
Enumeration DateSeptember 25, 2017
NPI 1861901647 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 · 146002646
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.
4033 S ILLINOIS AVE, Carbondale, IL 62903

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.

Clinic/Center (Student Health)
4033 S ILLINOIS AVE
CARBONDALE, IL 62903
Clinic/Center (Student Health)
4033 S ILLINOIS AVE
CARBONDALE, IL 62903
Clinic/Center (Student Health)
4033 S ILLINOIS AVE
CARBONDALE, IL 62903

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 Kathy Booziotis's NPI number?

The NPI number for Kathy Booziotis is 1861901647. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Kathy Booziotis located?

Kathy Booziotis practices at 4033 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 529-4151.

What is Kathy Booziotis'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 Kathy Booziotis was last updated on September 25, 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.