Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAKENZIE PETTIT
ActiveMAKENZIE PETTIT is a Speech, Language and Hearing Specialist healthcare provider located in BLOOMINGTON, Illinois. NPI 1730743899 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1730743899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2019 (7.3260435471638 yrs)
- Last Updated
- Aug 14, 2023
Practice Information
- Address
-
304 GOLDENROD RDBLOOMINGTON, IL, 617047276Browse IL providers · Browse ZIP 61704
- Phone
- 3095735394
- Fax
- 3093247003
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. C. ELIZABETH CHAMBERLAIN-LANE | SLP | 1104825819 |
| MS. DONNA J EVANS | M.A., CCC-SLP/L | 1750361721 |
| BASHA ONTIVEROS | M.S., CCC-SLP | 1629083423 |
| YVETTE EVANS | SLP | 1962583781 |
| MS. JAMIE ELLSWORTH | SLP | 1467570432 |
| DR. KAREN LARA DUDEK-BRANNAN | ED.D. CCC-SLP | 1528187697 |
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.