Provider Demographics
NPI:1265950968
Name:ZEIGLER, KALEIGH NOEL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:NOEL
Last Name:ZEIGLER
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 1:13895 FOWLER SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-6806
Mailing Address - Country:US
Mailing Address - Phone:618-694-7217
Mailing Address - Fax:
Practice Address - Street 1:3365 STATE HIGHWAY 3 NORTH
Practice Address - Street 2:
Practice Address - City:WOLF LAKE
Practice Address - State:IL
Practice Address - Zip Code:62998
Practice Address - Country:US
Practice Address - Phone:618-833-5709
Practice Address - Fax:618-833-4171
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.013766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist