Provider Demographics
NPI:1073972543
Name:FRANKEN, ELLEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:
Last Name:FRANKEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:BODINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5625 W 134TH PL APT 2022
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-4064
Mailing Address - Country:US
Mailing Address - Phone:913-669-5406
Mailing Address - Fax:
Practice Address - Street 1:5625 W 134TH PL APT 2022
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-4064
Practice Address - Country:US
Practice Address - Phone:913-669-5406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-12
Last Update Date:2020-06-09
Deactivation Date:2020-06-02
Deactivation Code:
Reactivation Date:2020-06-09
Provider Licenses
StateLicense IDTaxonomies
KS4613235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist