Elizabeth Ann Vanderslice
Individual provider Active NPI Speech-Language Pathologist · Stanton, TX
NPI 1407528045 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1407528045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 506 N St Peter St
Stanton, TX 79782 - Phone
- (940) 312-3740
- NPI assigned
- Oct 1, 2021
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Making Waves Pediatric Therapy Clinic LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
506 N St Peter St
Stanton, TX 79782
Mailing address
400 Grandview Dr
Granbury, TX 76049-5703
Other providers in Stanton, TX
- Mark Anthony Salcone
- Stanton Drug LLC
- Stanton Nursing and Rehabilitation LP
- Shalon Lena Sullivan
- Trulite Home Care, Inc.
- Latisha Marie Ward
- Kelli Mary-Ruth Woody
All providers in Stanton, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. 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.