Provider Demographics
NPI:1447779558
Name:FOSTER, SHEILA MURPHY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:MURPHY
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:IL
Mailing Address - Zip Code:62979-1228
Mailing Address - Country:US
Mailing Address - Phone:618-313-1177
Mailing Address - Fax:
Practice Address - Street 1:409 E PARK ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812-1920
Practice Address - Country:US
Practice Address - Phone:618-313-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146004776235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist