Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caroline Shively, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1023805421

Caroline Shively, MSCCC-SLP is a Speech-Language Pathologist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

507 E Armstrong Ave
Peoria, IL 61603-3201
Phone: (309) 686-1177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242007805 (IL)

Record details

NPI number1023805421
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address507 E Armstrong Ave, Peoria, IL 61603-3201

Other providers in Peoria