Ellen Darlene Roodhouse in Pekin - Speech-language Pathologist
Ellen Darlene Roodhouse - NPI 1407974363
Ellen Darlene Roodhouse is a Speech-language Pathologist in Pekin, Illinois. Ellen Darlene Roodhouse practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Ellen Darlene Roodhouse is 1407974363. The last update date is 2010-07-28.
Ellen Darlene Roodhouse's current location address is 2351 Broadway St, Pekin, Illinois. You can contact this provider via phone number 3093535940. The mailing address for Ellen Darlene Roodhouse is 2351 Broadway St, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Darlene Roodhouse |
|---|---|
| Address | 2351 Broadway St, Pekin, Illinois |
| Phone Number | 3093535940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SPEECH LAN |
NPI Number Detail
| NPI Number | 1407974363 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2010-07-28 |
Provider Mailing Address Detail
| Address | 2351 Broadway St |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615543972 |
| Phone Number | 3093535940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 146001816 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 537460014 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ellen Darlene Roodhouse?
The Ellen Darlene Roodhouse has been issued the NPI (National Provider Identifier) 1407974363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ellen Darlene Roodhouse's physical address?
The Ellen Darlene Roodhouse is physically located at 2351 Broadway St, in the city of Pekin, IL, with the postal code 615543972.
What is Ellen Darlene Roodhouse's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellen Darlene Roodhouse is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
When did the Ellen Darlene Roodhouse receive its 1407974363?
The Ellen Darlene Roodhouse was issued its 1407974363 on 2007-03-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Ellen Darlene Roodhouse last refreshed?
The information related to the Ellen Darlene Roodhouse, including its address, specialty, and other relevant details, was last updated on 2010-07-28.