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NPI Code Detail

MEDICARE: ELIZABETH CONLON CCC-SLP

MEDICARE: ELIZABETH CONLON CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist003843CT
2235Z00000XSpeech-Language Pathologist8668MA

General Provider Information

NPI Number : 1245476548
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CONLON CCC-SLP
Provider Business Mailing Address
First Line : 2033 MAIN ST
Second Line : ATHOL MEMORIAL HOSPITAL
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 978-249-1201
Fax Number : 978-249-5608
Provider Business Practice Location Address
First Line : 2033 MAIN ST
Second Line : ATHOL MEMORIAL HOSPITAL
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 978-249-1201
Fax Number : 978-249-5608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2008
Last Update Date : 02/19/2013

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Directions to “ ELIZABETH CONLON CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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