Provider Demographics
NPI:1023676947
Name:TANSEY, ELLEN F
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:F
Last Name:TANSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SIMONDS RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-1820
Mailing Address - Country:US
Mailing Address - Phone:788-686-1599
Mailing Address - Fax:
Practice Address - Street 1:229 SIMONDS RD
Practice Address - Street 2:
Practice Address - City:ASHBY
Practice Address - State:MA
Practice Address - Zip Code:01431-1820
Practice Address - Country:US
Practice Address - Phone:788-686-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76877235Z00000X
WYSP-979235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist