IndividualActive
Alicia Nelson, M.S. CCC-SLP
NPI 1639485907 · Speech-Language Pathologist · Canton, IL
Provider details
- NPI number
- 1639485907
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146009717 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
354 W Chestnut St
Canton, IL 61520-2414
Phone: (309) 647-8175
Approximate (ZIP-level) locationGet directions
Mailing address
354 W Chestnut St
Canton, IL 61520-2414
Registry dates
- Enumerated
- 2010-08-25
- Last updated
- 2010-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.