Healthcare Provider Details

I. General information

NPI: 1952226557
Provider Name (Legal Business Name): ELLEN ATKINS SPEECH SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1383 E 69TH ST
BROOKLYN NY
11234-5714
US

IV. Provider business mailing address

1383 E 69TH ST
BROOKLYN NY
11234-5714
US

V. Phone/Fax

Practice location:
  • Phone: 347-241-1224
  • Fax:
Mailing address:
  • Phone: 347-241-1224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ELLEN ATKIN
Title or Position: CEO
Credential: SLP
Phone: 347-241-1224