Provider Demographics
NPI:1255654356
Name:ISDANER, ELLEN KALODNER (MA,SLP,CCC)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:KALODNER
Last Name:ISDANER
Suffix:
Gender:F
Credentials:MA,SLP,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 WYNDMOOR LANE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:215-938-1939
Mailing Address - Fax:215-938-7192
Practice Address - Street 1:3300 TOWNSHIP LINE ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1925
Practice Address - Country:US
Practice Address - Phone:610-853-9919
Practice Address - Fax:610-853-9921
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000174L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist