Provider Demographics
NPI:1356595508
Name:ANDREWS, ELANA B (SLP)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:B
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9542 EDEN ROC CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3605
Mailing Address - Country:US
Mailing Address - Phone:516-637-4552
Mailing Address - Fax:
Practice Address - Street 1:9542 EDEN ROC CT
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3605
Practice Address - Country:US
Practice Address - Phone:516-637-4552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015465-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist