IndividualActive
Courtney Maisel
NPI 1790483543 · Speech-Language Pathologist · Waterloo, IL
Provider details
- NPI number
- 1790483543
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 242.006766 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
623 Hamacher St
Waterloo, IL 62298-1786
Phone: (618) 939-3488
Approximate (ZIP-level) locationGet directions
Mailing address
117 Sandstone Dr
Red Bud, IL 62278-2346
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.