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Active NPI 1023549284 Individual Practitioner Female Practitioner

Ellen Liversidge , MS, CCC-SLP

Speech-Language Pathologist • Shiprock, NM

Professional Overview & Biography Verified Profile Summary

Ellen Liversidge, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Shiprock, NM. Practice services are available at HWY 64, OLD HIGH SCHOOL RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Hwy 64, Old High School Rd.

Shiprock, NM 87420

Telephone 5053684984
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Shiprock, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Shiprock, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 5271

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Alexia Keith

Social Worker - School

NPI 1023802386
Shawn Skurky

Registered Nurse - School

NPI 1033065834
Michael Hathcock , MS CCC-SLP

Speech-Language Pathologist

NPI 1417784372

MSCCCSLP

Jayme Scurlock , SLP

Speech-Language Pathologist

NPI 1487910931

Speech-Language Pathologist

Patricia Suarez , RN

Registered Nurse - School

NPI 1528561701

Registered Nurse

Gwendolyn Kelly

Registered Nurse - School

NPI 1629957204

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2017

Registered at HWY 64, OLD HIGH SCHOOL RD., SHIPROCK, NM 87420 (Tel: 5053684984)

📍
Updated Business Mailing Address March 21, 2017

Registered at 4923 DEL MONTE AVE, SAN DIEGO, CA 921073208 (Tel: 3017753649)

👤
Provider Name / Credentials Updated March 21, 2017

Recorded as ELLEN LIVERSIDGE, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Speech-Language Pathologist (License #5271 in NM)

🟢
Initial NPI Registration & Enumeration March 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023549284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2017
Last Update: March 21, 2017
Sole Proprietor: Yes

Mailing Address

4923 Del Monte Ave

San Diego, CA 921073208

Phone: 3017753649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.