Provider Demographics
NPI:1194530618
Name:RICHEY, KADY MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KADY
Middle Name:MARIE
Last Name:RICHEY
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 1:6 W RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1720
Mailing Address - Country:US
Mailing Address - Phone:618-231-4432
Mailing Address - Fax:
Practice Address - Street 1:930 COLFAX DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3325
Practice Address - Country:US
Practice Address - Phone:217-444-3226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146016934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist