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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARY LUCENA ELLIS, MA-CCC/SLP

Active Sole Proprietor

MS. MARY LUCENA ELLIS, MA-CCC/SLP is a Speech, Language and Hearing Specialist healthcare provider located in ROCK ISLAND, Illinois. NPI 1821297300 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ROCK ISLAND, IL

Registration Details

NPI Number
1821297300
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2007 (19.056782678816 yrs)
Last Updated
Jul 13, 2007
Licenses
01132 (IA)
MA7678 (CA)
Sole Proprietor
Yes

Practice Information

Address
2810 45TH ST
ROCK ISLAND, IL, 612015860
Browse IL providers · Browse ZIP 61201
Phone
3097376304
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ROCK ISLAND, IL

Name Credential NPI
DR. STACIE MERI HATFIELD ED.D., CCC-SLP 1144496035
KRISTIN A KOENIG MS 1427383777
DANIELLE MARIE HANSEN MS 1649505405
MARTHA A BOWLES MA 1235464793
MRS. KATHRYN ANN KENNEDY SLP 1356668420
KATIE LINN VAN LAUWE SPEECH PATHOLOGIST 1932406626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.