Provider Demographics
NPI:1083748123
Name:LAYENDECKER BARCLAY, ANNE MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:LAYENDECKER BARCLAY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:BARCLAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:164 HORIZON CIR
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-1600
Mailing Address - Country:US
Mailing Address - Phone:630-653-7448
Mailing Address - Fax:630-784-9350
Practice Address - Street 1:164 HORIZON CIR
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-1600
Practice Address - Country:US
Practice Address - Phone:630-653-7448
Practice Address - Fax:630-784-9350
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist