KELLIE O'BRIEN IVIE
NPI 1942814769
Speech-Language Pathologist in Edwards, IL

Active since August 31, 2020
5601 BROOKMERE ST, EDWARDS, IL 61528(309) 363-7594(309) 966-3621 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2022, Aug 31, 2020 (2 updates tracked since 2020).

About Kellie O'brien Ivie NPPES

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

KELLIE O'BRIEN IVIE (NPI 1942814769) is an individual speech-language pathologist provider in Edwards, Illinois, licensed in Illinois (146.016263) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1942814769
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLIE O'BRIEN IVIE
Location Address5601 BROOKMERE STEdwards, IL 61528-9408
Mailing Address5601 Brookmere StEdwards, IL 61528-9408 · (309) 363-7594 · Fax (309) 966-3621
Fax(309) 966-3621
Sole ProprietorNo
Enumeration DateAugust 31, 2020
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1942814769 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
Licenses Licensed in IL · 146.016263 Licensed in IL · 242.005831
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.

5601 BROOKMERE ST, Edwards, IL 61528

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.

Speech-Language Pathologist
5601 BROOKMERE ST
EDWARDS, IL 61528
Speech-Language Pathologist
5601 BROOKMERE ST
EDWARDS, IL 61528
Speech-Language Pathologist
5601 BROOKMERE ST
EDWARDS, IL 61528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942814769, enumerated as an "individual" on August 31, 2020.

The provider is located at 5601 BROOKMERE ST EDWARDS, IL 61528 and the phone number is (309) 363-7594.

Speech-Language Pathologist with taxonomy code 235Z00000X.