Provider Demographics
NPI:1306353107
Name:STECKEL, CYNTHIA ANN
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:STECKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:DEBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SHERRARD
Mailing Address - State:IL
Mailing Address - Zip Code:61281-8614
Mailing Address - Country:US
Mailing Address - Phone:309-593-2917
Mailing Address - Fax:
Practice Address - Street 1:209 1ST ST
Practice Address - Street 2:
Practice Address - City:SHERRARD
Practice Address - State:IL
Practice Address - Zip Code:61281-8614
Practice Address - Country:US
Practice Address - Phone:309-593-2917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.004853235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist