Active NPIIndividual providerSole proprietor

Colleen E Ellis, MA, CCC-SLP

Speech-Language Pathologist, in Haddon Township, New Jersey

NPI Number1407123672
Practice location
20 E Clinton Ave, Haddon Township, NJ 08107-1355
Fax
—
Last updated
June 11, 2013

Colleen Elizabeth Ellis is a Speech-Language Pathologist, based in Haddon Township, NJ. Colleen Elizabeth Ellis practices in Haddon Township, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Colleen Elizabeth Ellis is 1407123672 and holds a License No. 41YS00531400 (NJ). The current practice location address for Colleen Elizabeth Ellis is 20 E Clinton Ave, Haddon Township, NJ 08107-1355 and can be reached out via phone at 215-603-2851.

Provider Profile Details

NPI Number
1407123672
Provider Name
Colleen Elizabeth Ellis
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
20 E Clinton Ave, Haddon Township, NJ 08107-1355
Phone Number
215-603-2851
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 16, 2011
Last Update Date
June 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 E Clinton Ave
Haddon Township, NJ 08107-1355
Zip
08107-1355
Phone Number
215-603-2851
Haddon Township, NJ 08107Get directions →

Provider Business Mailing Address Details

Address
20 E Clinton Ave
Haddon Township, NJ 08107-1355
City
Haddon Township
State
NJ
Zip
08107-1355
Phone Number
215-603-2851

License Information

License Number
41YS00531400
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colleen E Ellis, MA, CCC-SLP?

The NPI number of Colleen E Ellis, MA, CCC-SLP is 1407123672. It was assigned on November 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Colleen E Ellis, MA, CCC-SLP?

Colleen E Ellis, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00531400.

Where does Colleen E Ellis, MA, CCC-SLP practice?

The practice location is 20 E Clinton Ave, Haddon Township, NJ 08107-1355. The office can be reached at 215-603-2851 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407123672 directly on the NPPES registry website.

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