MEDICARE: ELIZABETH RHODES

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	SP11087	CA

General Provider Information

NPI Number	:	1871362145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RHODES

Provider Business Mailing Address
First Line	:	395 E 4TH ST UNIT 24
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-0407
Country	:	US
Telephone Number	:	562-822-2384
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 E 4TH ST UNIT 24
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-0407
Country	:	US
Telephone Number	:	562-822-2384
Fax Number	:

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

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	12/27/2023

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Directions to “ ELIZABETH RHODES ” Practice Location

Language	Start Address	Practice Location

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