IndividualActive
Lydia Green, MS CCC SLP
NPI 1104337948 · Speech-Language Pathologist · Downs, IL
Provider details
- NPI number
- 1104337948
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 146.008072 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
409 E Washington St
Downs, IL 61736-9380
Phone: (309) 378-2031
Approximate (ZIP-level) locationGet directions
Mailing address
409 E Washington St
Downs, IL 61736-9380
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2017-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.