Most Relevant Information
Provider Data
| NPI Number: | 1003565284 |
| Provider Name: | CASEY RYAN MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.016919 |
Most Important Dates
| Enumeration Date: | 03/23/2022 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
401 N 30TH ST
MOUNT VERNON
IL
628642355
Practice Location Phone/Fax
| Phone: | 6182448068 |
| Fax: |
Provider Mailing Location
314 W BEACON CT
MOUNT VERNON
IL
628645779
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |