SearchNew Mexico235Z00000X

Ellen Liversidge, M.S., CCC-SLP

NPI 1023549284 · on the registry since 2017 · sole proprietor

Practice

Address
Hwy 64, Old High School Rd.
Shiprock, NM 87420
Phone
(505) 368-4984
Clinicians at this address
5

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico