Ellen Marie Anderson
Individual provider Active NPI Speech-Language Pathologist · Brick, NJ
NPI 1497313928 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1497313928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00980100 (NJ)
- Practice address
- 2557 Hooper Ave
Brick, NJ 08723-6238 - Phone
- (732) 701-3711
- Fax
- (732) 701-3709
- NPI assigned
- May 30, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00980100 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapy Associates | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00980100 | NJ | Yes |
Addresses
Primary practice location
2557 Hooper Ave
Brick, NJ 08723-6238
Mailing address
2557 Hooper Ave
Brick, NJ 08723-6238
Phone (732) 701-3711
Other providers in Brick, NJ
- Megan Amerman
- Girish S Amin
- Krushna Bharat Amin
- Priya Anantharaman
- Vivian C. Andersch
- Andrew L. Simon M.D., F.a.C.S, P.a.
- Jennifer Lynn Andrews
- Nina Vaskina Andreyev
- Marie Anifowoshe
- Antero B. Gonzales M.D.
All providers in Brick, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. 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.