IndividualActive
Bailey Shafer
NPI 1336770577 · Speech-Language Pathologist · Troy, IL
Provider details
- NPI number
- 1336770577
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
8294 Castle Ridge Dr
Troy, IL 62294-2860
Phone: (618) 367-1272
Approximate (ZIP-level) locationGet directions
Mailing address
8294 Castle Ridge Dr
Troy, IL 62294-2860
Registry dates
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.