Micael Dean-Stanton, SLP

NPI 1174780662 · on the registry since 2008 · sole proprietor

Practice

Address: 141 Market Pl
Suite 203
Fairview Heights, IL 62208
Phone: (618) 398-4118
Fax: (847) 881-9640
Organisation at this address: Promed Preferred Il 2 Pllc
Itic Support Services Group Llc
Preferred Behavioral Health Mso, Inc.
Caretenders Visiting Services Of Southern Illinois, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois