Elizabeth Connell Anttonen, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Greenwood, IN
NPI 1104055979 · NPPES record last updated Jul 14, 2009
Key facts
- NPI
- 1104055979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22002647A (IN)
- Practice address
- 1193 Clark Dr
Greenwood, IN 46143-3147 - Phone
- (317) 881-2262
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22002647A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborating for Kids, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22002647A | IN | Yes |
Addresses
Primary practice location
1193 Clark Dr
Greenwood, IN 46143-3147
Mailing address
1193 Clark Drive
Greenwood, IN 46143-3147
Phone (317) 881-2262
Other providers in Greenwood, IN
- Asif Ansari
- Hannah Marie Anspaugh
- Allison Lee Antolin
- Alyssa Antone
- Leslie M Antonelli
- Apexgen Medical Billing LLC
- Sydney Apple
- Jenna Arbuckle
- Angela A Archer
- Andrea Lynn Arends
All providers in Greenwood, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.