Elizabeth Grace O'Brien, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003489-1 Issued in NY

Practice address

2300 English Rd
Rochester, NY 14616-1682

Phone

(585) 966-4669

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth G O'Brien Other name

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1629345038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BAUERS COVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-352-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ENGLISH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161682",
            "telephone_number": "585-966-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "O'BRIEN",
            "middle_name": "G",
            "credential": "MS CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• O Gregory Zazulak, MD, PC (finger lakes eye care)
• O.P.T Inc
• Alex David O'Brien, NP
• Alison O'Brien, DO
• Andrea O'Brien, M.A.
• Elizabeth Soanes O'Brien, MD
• Jacqueline Mary O'Brien
• Jeanne O'Brien, MD
• Karen O'Brien, RPH
• Kathleen O'Brien

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.