Provider Demographics
NPI:1063393106
Name:ADKINS, CIERRA NICOLE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:NICOLE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:ULLIN
Mailing Address - State:IL
Mailing Address - Zip Code:62992-0392
Mailing Address - Country:US
Mailing Address - Phone:618-634-9800
Mailing Address - Fax:
Practice Address - Street 1:751 ULLIN AVE
Practice Address - Street 2:
Practice Address - City:ULLIN
Practice Address - State:IL
Practice Address - Zip Code:62992-1014
Practice Address - Country:US
Practice Address - Phone:618-634-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.018407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist