IndividualActive
Kathy Booziotis
NPI 1861901647 · Speech-Language Pathologist · Carbondale, IL
Provider details
- NPI number
- 1861901647
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146002646 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4033 S Illinois Ave
Carbondale, IL 62903-8375
Phone: (618) 529-4151
Fax: (618) 529-4154
Street-level locationGet directions
Mailing address
811 S Liberty Ln
Carbondale, IL 62902-5072
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2017-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.