Provider Demographics
NPI:1295404085
Name:SAKELLARIS, ELENI CHRYSSOS
Entity type:Individual
Prefix:
First Name:ELENI
Middle Name:CHRYSSOS
Last Name:SAKELLARIS
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 1:308 HAMILTON PL UNIT 20
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-3679
Mailing Address - Country:US
Mailing Address - Phone:973-985-2411
Mailing Address - Fax:
Practice Address - Street 1:308 HAMILTON PL UNIT 20
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3679
Practice Address - Country:US
Practice Address - Phone:973-985-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41YS010995500OtherSPEECH LANGUAGE PATHOLOGIST LICENSE