Individual
MS. ELIZABETH A OREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
501 BROADWAY ST # 3, MADISON, IN 47250-3307
(812) 599-4743
Mailing address
501 BROADWAY ST # 3, MADISON, IN 47250-3307
(812) 599-4743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003063A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200635820
—
IN
05
—
200727220
—
IN
Enumeration date
05/21/2008
Last updated
07/18/2008
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