Eve M Ellison, M.S.CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · North Berwick, ME
NPI 1407160302 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1407160302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP783 (ME)
- Practice address
- 388 Somersworth Rd
North Berwick, ME 03906-6559 - Phone
- (207) 676-2843
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP783 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP783 | ME | Yes |
Addresses
Primary practice location
388 Somersworth Rd
North Berwick, ME 03906-6559
Mailing address
125 Boyds Corner Rd
South Berwick, ME 03908-2010
Phone (207) 676-7990
Other providers in North Berwick, ME
- CH Wright, Inc.
- Maribel Seda Despres
- Patricia Dolan
- Doughty Falls Physical Therapy PLLC
- Rebecca S. Dubay
- Alexando Orlando Fusco
- Robert Edward Gaetjens
- Karen Gori
- Laurie L Heselton
- Charles W Hintermeister
All providers in North Berwick, ME · Speech-Language Pathologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. 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.