National Provider Identifier

Ellen Swain Roberts, MA, CCC/SLP

Ellen Swain Roberts, MA, 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) 594-1114.

NPI 1902109937Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1902109937
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 14, 2010
Last Updated
December 14, 2010

Practice Location

  • 85 Reddick Ln
  • Rochester, NY 14624-1959

Phone: (585) 594-1114

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1902109937
Entity Type
Individual
Last Name
Roberts
First Name
Ellen
Middle Name
Swain
Name Prefix
MS.
Credential
MA, CCC/SLP
Mailing Street Address
85 Reddick Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1959
Mailing Country
US
Mailing Phone
(585) 594-1114
Practice Street Address
85 Reddick Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1959
Practice Country
US
Practice Phone
(585) 594-1114
Enumeration Date
December 14, 2010
Last Updated
December 14, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)