Provider Demographics
NPI:1912798562
Name:MUNYER, CLARA (SLP-CF)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:MUNYER
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 RED BUD PL
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62675-9576
Mailing Address - Country:US
Mailing Address - Phone:217-720-6139
Mailing Address - Fax:
Practice Address - Street 1:832 RED BUD PL
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:IL
Practice Address - Zip Code:62675-9576
Practice Address - Country:US
Practice Address - Phone:217-720-6139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist