Provider Demographics
NPI:1326557547
Name:PETERS, APRIL LYNN (MHS, CCC/SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:PETERS
Suffix:
Gender:F
Credentials:MHS, CCC/SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 N 400 EAST RD
Mailing Address - Street 2:
Mailing Address - City:ASHKUM
Mailing Address - State:IL
Mailing Address - Zip Code:60911-7143
Mailing Address - Country:US
Mailing Address - Phone:815-274-6530
Mailing Address - Fax:
Practice Address - Street 1:475 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:CHEBANSE
Practice Address - State:IL
Practice Address - Zip Code:60922-2026
Practice Address - Country:US
Practice Address - Phone:815-274-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.006587235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist