Elizabeth Ann Manela, SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000277 Issued in MI

Practice address

2075 East West Maple Road
Suite B203
Walled Lake, MI 48390

Phone

(248) 926-0909

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Detroit Institute for Children

  • Speech-Language Pathologist
  • Commerce Township, MI
  • NPI 1811061948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1043820913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 EAST WEST MAPLE ROAD",
            "address_2": "SUITE B203",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-926-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 EAST WEST MAPLE ROAD",
            "address_2": "SUITE B203",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-926-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANELA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Marie Ludy
• Ghadeer Makki
• Marie Helene Malec
• David Maloney
• Susan A Maloney
• Marco a Tauil DDS, PC
• Beth Maroko, RPH.
• Elizabeth Kathryn Martin, NP
• Lisa Ann Martin
• David Hugh McAree, MD

• Speech-Language Pathologist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.