Provider Demographics
NPI:1629216734
Name:WINKLER, JEANNE LYNN (MS/CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:LYNN
Last Name:WINKLER
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:LYNN
Other - Last Name:SALSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CCC/SLP
Mailing Address - Street 1:200 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:COFFEEN
Mailing Address - State:IL
Mailing Address - Zip Code:62017-1235
Mailing Address - Country:US
Mailing Address - Phone:217-534-2314
Mailing Address - Fax:217-534-6088
Practice Address - Street 1:200 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:COFFEEN
Practice Address - State:IL
Practice Address - Zip Code:62017-1235
Practice Address - Country:US
Practice Address - Phone:217-534-2314
Practice Address - Fax:217-534-6088
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.000130235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist