Healthcare Provider Details

I. General information

NPI: 1356251615
Provider Name (Legal Business Name): SARAH JOY PECHTL SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 TREMONT ST
ALTON IL
62002-6749
US

IV. Provider business mailing address

1225 CHANCELLOR DR
EDWARDSVILLE IL
62025-3951
US

V. Phone/Fax

Practice location:
  • Phone: 618-463-2057
  • Fax:
Mailing address:
  • Phone: 224-230-1272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14549951
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: