| Doctor Name: | MRS. SARA ADRIENNE WYLIE |
| NPI Number: | 1659515922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., SLP-CF |
| License Number: | 242.00096 |
| Business Practice Address: | 1801 Marion St 2 Carterville, IL - 629185174 |
| Business Phone Number: | 6185213822 |
| Business Fax Number: | |
| Mailing Address: | 210 E College St, ENERGY |
| State: | IL |
| Postal Code: | 629333568 |
| Phone Number: | 6187713190 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2009 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 242.00096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |