Ellen Meyers-Hafner, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Midlothian, IL
NPI 1265637482 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265637482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 14425 Kildare Ave
Midlothian, IL 60445-2649 - Phone
- (708) 309-5459
- Fax
- (708) 597-5422
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-001227 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Advantage, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Anne K. Bludgen Speech Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
14425 Kildare Ave
Midlothian, IL 60445-2649
Mailing address
5537 W Pauling Rd
Monee, IL 60449-9720
Other providers in Midlothian, IL
- Marcia Mabin
- Dayra Melissa Macias
- Lisa Marie Mangelsdorff
- Karina Martinez
- Elizabeth C McCarthy
- Midlothian Family Dental LTD.
- Midlothian School Ditrict 143
- Joshua Napoli
- NK Medical Supply
- NK Medical Supply Billing
All providers in Midlothian, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.