Provider Demographics
NPI:1174783765
Name:POSTIN, AMBER LYNN (SLP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:POSTIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 192ND AVE
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:IL
Mailing Address - Zip Code:61462-9218
Mailing Address - Country:US
Mailing Address - Phone:309-371-5550
Mailing Address - Fax:
Practice Address - Street 1:884 192ND AVE
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:IL
Practice Address - Zip Code:61462-9218
Practice Address - Country:US
Practice Address - Phone:309-371-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009337235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146009337OtherSTATE LICENSE