Provider Demographics
NPI:1922400159
Name:STONE, WINDY LEE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:WINDY
Middle Name:LEE
Last Name:STONE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-2104
Mailing Address - Country:US
Mailing Address - Phone:618-799-1297
Mailing Address - Fax:
Practice Address - Street 1:501 CLINTON ST
Practice Address - Street 2:
Practice Address - City:CARLYLE
Practice Address - State:IL
Practice Address - Zip Code:62231-1503
Practice Address - Country:US
Practice Address - Phone:618-594-8826
Practice Address - Fax:618-594-8826
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.012280235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist