Doctor Name: | MRS. ELLEN LOUISE CONNERY |
NPI Number: | 1033403811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ELLEN CONNERY |
License Number: | 222 |
Business Practice Address: | 213 Robinson St Wakefield, RI - 028793590 |
Business Phone Number: | 4012841000 |
Business Fax Number: | 4012841006 |
Mailing Address: | 213 Robinson St, WAKEFIELD |
State: | RI |
Postal Code: | 028793590 |
Phone Number: | 4012841000 |
Fax Number: | 4012841006 |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |