Provider Demographics
NPI:1245066067
Name:DUNGAN, ELIZABETH CAROLYN (MS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CAROLYN
Last Name:DUNGAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1012
Mailing Address - Country:US
Mailing Address - Phone:847-513-1278
Mailing Address - Fax:
Practice Address - Street 1:1207 GARDEN CT
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1012
Practice Address - Country:US
Practice Address - Phone:847-513-1278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist