IndividualActive
Angela Jenkins
NPI 1245759281 · Speech-Language Pathologist · Carbondale, IL
Provider details
- NPI number
- 1245759281
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1809201 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1025 N Wall St
Carbondale, IL 62901-1737
Phone: (618) 457-6226
Approximate (ZIP-level) locationGet directions
Mailing address
1025 N. Wall Street
Carbondale, IL 62901
Registry dates
- Enumerated
- 2017-09-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.