Provider Demographics
NPI:1801616198
Name:SCHATZ, ELLEN (SLP)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CYNWYD RD PH 1
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3342
Mailing Address - Country:US
Mailing Address - Phone:610-864-0580
Mailing Address - Fax:
Practice Address - Street 1:1 CYNWYD RD PH 1
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3342
Practice Address - Country:US
Practice Address - Phone:610-864-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004360L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist