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: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About KATHY BOOZIOTIS

This page provides the complete NPI Profile along with additional information for Kathy Booziotis, a provider established in Carbondale, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1861901647 assigned on September 2017. The practitioner's primary taxonomy code is 235Z00000X with license number 146002646 (IL). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1861901647 Verify this NPI
Provider Name
KATHY KELLEY BOOZIOTIS
Gender
Female
Entity Type
Individual
Location Address
4033 S ILLINOIS AVE CARBONDALE, IL 62903
Location Phone
(618) 529-4151
Location Fax
(618) 529-4154
Mailing Address
811 S LIBERTY LN CARBONDALE, IL 62902
Mailing Phone
(618) 534-6592
Is Sole Proprietor?
Yes
Enumeration Date
09-25-2017
Last Update Date
09-25-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
146002646
License State
IL
Taxonomy Description
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.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1861901647, enumerated as an "individual" on September 25, 2017.

The provider is located at 4033 S ILLINOIS AVE CARBONDALE, IL 62903 and the phone number is (618) 529-4151.

Speech-Language Pathologist with taxonomy code 235Z00000X.