Individual provider · Type 1 NPI

Mary Lucena Ellis, MA-CCC/SLP

Speech-Language Pathologist · Rock Island, IL

NPI number 1821297300 Active

Practice location

2810 45th St
Rock Island, IL 61201-5860

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X01132 (IA)
Speech-Language Pathologist 235Z00000XMA7678 (CA)
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1821297300

Mary Lucena Ellis, MA-CCC/SLP's National Provider Identifier is 1821297300, issued on Jul 13, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Rock Island, IL. The record was last updated on Jul 13, 2007.