Mrs Tamara Lynn Ditsworth, MA-CCC/SLP - Speech-Language Pathologist in Hanover, IL

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Mrs Tamara Lynn Ditsworth, MA-CCC/SLP is a Speech-language Pathologist based in Hanover, Illinois. Mrs Tamara Lynn Ditsworth is licensed to practice in Illinois (license number 146.008524) and her current practice location is 4141 Il Route 84 S, Hanover, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 858-9005.

NPI number for Mrs Tamara Lynn Ditsworth is 1780199943 and her current mailing address is 4141 Il Route 84 S, Hanover, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780199943.

Contact Information

Mrs Tamara Lynn Ditsworth, MA-CCC/SLP
4141 Il Route 84 S,
Hanover, IL 61041-9631
(815) 858-9005
(815) 858-9006

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Healthcare Provider's Profile

Full NameMrs Tamara Lynn Ditsworth
GenderFemale
SpecialitySpeech-language Pathologist
Location4141 Il Route 84 S, Hanover, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780199943
  • Provider Enumeration Date: 12/11/2017
  • Last Update Date: 12/11/2017

Medical Identifiers

Medical identifiers for Mrs Tamara Lynn Ditsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780199943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146.008524 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tamara Lynn Ditsworth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tamara Lynn Ditsworth, MA-CCC/SLP
4141 Il Route 84 S,
Hanover, IL 61041-9631

Ph: (815) 858-9005		Mrs Tamara Lynn Ditsworth, MA-CCC/SLP
4141 Il Route 84 S,
Hanover, IL 61041-9631

Ph: (815) 858-9005

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Speech-Language Pathologist in Hanover, IL


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