Healthcare Provider Details

I. General information

NPI: 1730637539
Provider Name (Legal Business Name): ELIZABETH ANN LOFTUS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 JAEGER ST UNIT 201
COLUMBUS OH
43206-2590
US

IV. Provider business mailing address

850 JAEGER ST UNIT 201
COLUMBUS OH
43206-2590
US

V. Phone/Fax

Practice location:
  • Phone: 817-845-1444
  • Fax:
Mailing address:
  • Phone: 817-845-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.16202
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: