DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY THERESA VANDIVER

Active

MARY THERESA VANDIVER is a Speech, Language and Hearing Specialist healthcare provider located in HEYWORTH, Illinois. NPI 1063928430 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · HEYWORTH, IL

Registration Details

NPI Number
1063928430
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2017 (8.6723524180803 yrs)
Last Updated
Dec 21, 2017
License
146.006321 (IL)

Practice Information

Address
100 S JOSELYN ST
HEYWORTH, IL, 617459191
Browse IL providers · Browse ZIP 61745
Phone
3094732822
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in HEYWORTH, IL

Name Credential NPI
MRS. MOLLY LYNN POST SLP 1003328741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.