Ellis, Wendy Lerner

Ellis, Wendy Lerner is an sole proprietor health care provider with primary practice located at 4 Bragg St , Peabody MA 01960-1413. 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. Ellis, Wendy Lerner can be contacted via phone (978) 532-8529.

Contact Information

Primary practice address
4 Bragg St Peabody MA 01960-1413
Fax: (978) 532-5522
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2885 Massachusetts

Profile Details

NPI number 1407992084
LBN Legal business name Ellis, Wendy Lerner
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407992084 NPPES
Massachusetts Other SP0036 BCBS PROVIDER NUMBER

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