MEDICARE: ELIZABETH CABELLO M.S., 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
1	235Z00000X	Speech-Language Pathologist		IN

General Provider Information

NPI Number	:	1245898618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CABELLO M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3358 N 650 W
Second Line	:
City	:	LIGONIER
State	:	IN
Zip	:	46767-9615
Country	:	US
Telephone Number	:	260-515-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E PRAIRIE ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-4429
Country	:	US
Telephone Number	:	574-267-8922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	05/31/2019

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Directions to “ ELIZABETH CABELLO M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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