Elwood G Anderson, ED.D

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ASHA 00003855 Issued in MI

Practice address

552 Robin Ave
Alpena, MI 49707-1516

Phone

(989) 354-8967

Fax

(989) 356-6588

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

• Practice of Speech Patholgy, Inc,

  • Speech-Language Pathologist
  • Lachine, MI
  • NPI 1326376740
  Authorized official Same address or phone

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1093941155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 ROBIN AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071516",
            "telephone_number": "989-354-8967",
            "fax_number": "989-356-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 ROBIN AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071516",
            "telephone_number": "989-354-8967",
            "fax_number": "989-356-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELWOOD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "ASHA 00003855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpena Therapy Associates PLC
• Alpena-Montmorency-Alcona Educational Service District
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• Hope Amlotte, CHW
• Dawn Anderson
• Mari Lee Anderson, FNP-C
• Andrew C. Tarkington D.D.S. ,P.C.
• James Robert Antkowiak, PHARMD
• Tisha Antoniszczak, RN
• Apex Drug Stores Inc (Rite Aid Pharmacy 04532)

• Speech-Language Pathologist in Alpena, MI
• Providers in Alpena, 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 Jun 3, 2009; 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.