Healthcare Provider Details

I. General information

NPI: 1700797388
Provider Name (Legal Business Name): ELSA HIPPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7927 NEMCO WAY STE 120
BRIGHTON MI
48116-9470
US

IV. Provider business mailing address

7927 NEMCO WAY STE 120
BRIGHTON MI
48116-9470
US

V. Phone/Fax

Practice location:
  • Phone: 614-271-2625
  • Fax: 614-702-7243
Mailing address:
  • Phone: 614-271-2625
  • Fax: 614-702-7243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009899
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: