Conley, Elizabeth M
Conley, Elizabeth M is an individual health care provider with primary practice located at 125 E Elm Ave Ste 103 , Flagstaff AZ 86001-3258. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Conley, Elizabeth M can be contacted via phone (928) 779-1679.Contact Information
Primary practice address
125 E Elm Ave Ste 103
Flagstaff AZ 86001-3258
Phone: (928) 779-1679
Fax: (928) 779-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | TSLP 5061 | Arizona |
Profile Details
| NPI number | 1245383132 |
|---|---|
| LBN Legal business name | Conley, Elizabeth M |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245383132 | NPPES |
| Arizona | MEDICAID | 125667 | |
| Arizona | Other | TSLP 5061 | |
| Arizona | Other | 12128791 |
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