Ellen Liversidge, MS, CCC-SLP in Shiprock, NM - Speech-Language Pathologist

Ellen Liversidge, MS, CCC-SLP is a Speech-language Pathologist based in Shiprock, New Mexico. Ellen Liversidge is licensed to practice in New Mexico (license number 5271) and her current practice location is Hwy 64, Old High School Rd., Shiprock, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 368-4984.

NPI number for Ellen Liversidge is 1023549284 and her current mailing address is 4923 Del Monte Ave, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023549284.

Contact Information

	Ellen Liversidge, MS, CCC-SLP
	Hwy 64, Old High School Rd., Shiprock, NM 87420
	(505) 368-4984
	Not Available

Healthcare Provider's Profile

Full Name	Ellen Liversidge
Gender	Female
Speciality	Speech-language Pathologist
Location	Hwy 64, Old High School Rd., Shiprock, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1023549284
Provider Enumeration Date: 03/21/2017
Last Update Date: 03/21/2017

Medical Identifiers

Medical identifiers for Ellen Liversidge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023549284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5271 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Liversidge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellen Liversidge, MS, CCC-SLP 4923 Del Monte Ave, San Diego, CA 92107-3208 Ph: (301) 775-3649	Ellen Liversidge, MS, CCC-SLP Hwy 64, Old High School Rd., Shiprock, NM 87420 Ph: (505) 368-4984

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Speech-Language Pathologist in Shiprock, NM

Ms. Heidi E. Larson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Mr. Joshuaa Dominic Allison-burbank, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Ms. Cheryl Lea Oelze, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Paula M. Magnuson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Patricia Hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Old Shiprock Highschool Rd, Bldg B, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
William Raymond Larrick, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-7100

Ellen Liversidge, MS, CCC-SLP - Speech-Language Pathologist in Shiprock, NM