Provider Demographics
NPI:1316124191
Name:KRISCHEL, AMY LYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:KRISCHEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:KAHLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:2830 AMLI LN
Mailing Address - Street 2:#1425
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8855
Mailing Address - Country:US
Mailing Address - Phone:309-287-8547
Mailing Address - Fax:630-372-4654
Practice Address - Street 1:2830 AMLI LN
Practice Address - Street 2:#1425
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-8855
Practice Address - Country:US
Practice Address - Phone:309-287-8547
Practice Address - Fax:630-372-4654
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008659235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist