Provider Demographics
NPI:1922864727
Name:SINGH, ELLA MACKAY (MSCA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:MACKAY
Last Name:SINGH
Suffix:
Gender:F
Credentials:MSCA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225A WASHINGTON BLVD APT 3E
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4132
Mailing Address - Country:US
Mailing Address - Phone:647-868-9532
Mailing Address - Fax:
Practice Address - Street 1:2706 W ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-9506
Practice Address - Country:US
Practice Address - Phone:248-255-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist