| Doctor Name: | DR. ELIZABETH L. PHELAN |
| NPI Number: | 1811156987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH PATHOLOGIST |
| License Number: | 10645 |
| Business Practice Address: | 4345 Phelan Blvd Beaumont, TX - 777072157 |
| Business Phone Number: | 4098994099 |
| Business Fax Number: | 4098994099 |
| Mailing Address: | 1005 N 7th St, SILSBEE |
| State: | TX |
| Postal Code: | 776563826 |
| Phone Number: | 4093853510 |
| Fax Number: | 4093865751 |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 10645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |