National Provider Identifier
Elizabeth Grace O'Brien, MS CCC-SLP
Elizabeth Grace O'Brien, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 966-4669.
Profile Overview
- NPI
- 1629345038
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 30, 2011
- Last Updated
- January 22, 2013
Practice Location
- 2300 English RD
- Rochester, NY 14616-1682
Phone: (585) 966-4669
Mailing Address
- 26 Bauers Cove
- Spencerport, NY 14559
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1629345038
- Entity Type
- Individual
- Last Name
- O'Brien
- First Name
- Elizabeth
- Middle Name
- Grace
- Credential
- MS CCC-SLP
- Provider Other Last Name
- O'Brien
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- G
- Provider Other Credential Text
- MS CCC-SLP
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 26 Bauers Cove
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559
- Mailing Country
- US
- Mailing Phone
- (585) 352-4894
- Practice Street Address
- 2300 English RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-1682
- Practice Country
- US
- Practice Phone
- (585) 966-4669
- Enumeration Date
- November 30, 2011
- Last Updated
- January 22, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)