Elizabeth Mudrey, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06413 Issued in MD

Practice address

1270 Monticello Ave
Hermitage, PA 16148-4451

Phone

(724) 854-4212

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1326343120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 MONTICELLO AVE",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MONTICELLO AVE",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484451",
            "telephone_number": "724-854-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDREY",
        "first_name": "ELIZABETH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06413",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "9775",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawnya Moore, MOT, OTR/L
• Robert B Morgenstern, MD
• Barry E Morris, DC
• Daniel Jack Moschillo, D.C.
• Melissa Lee Moss, CRNP
• Hanna Mueller, PA-C
• Michelle Lynn Multari, MSED
• Multipath Counseling
• Jeanette Murray-Hall, MS
• Muscarella Chiropractic, PC

• Speech-Language Pathologist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.