Individual provider · Type 1 NPI

Ellen Liversidge, M.S., CCC-SLP

Speech-Language Pathologist · Shiprock, NM

NPI number 1023549284 Active

Practice location

Hwy 64, Old High School Rd.
Shiprock, NM 87420

Mailing address

4923 Del Monte Ave
San Diego, CA 92107-3208

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X5271 (NM)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1023549284

Ellen Liversidge, M.S., CCC-SLP's National Provider Identifier is 1023549284, issued on Mar 21, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Shiprock, NM. The record was last updated on Mar 21, 2017.