ELIZABETH JANE LEDEBOER (NPI# 1386149359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386149359 |
| Entity Type | Individual |
| Full Name | ELIZABETH JANE LEDEBOER |
| Credential | SLP |
| Practice Address |
31 Lake St Gardner MA 01440-3879 |
| Practice Telephone | 9786324432 |
| Mailing Telephone | 9786324432 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7866 | MA | Speech, Language and Hearing Service Providers |
| Street Address |
31 LAKE ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412841 | Kathy Lynn Hall | Counselor | 31 Lake St, Suite 110, Gardner, MA 01440-3879 | 2006-08-09 |
| 1558866921 | Julie Ann Blake | Health Educator | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-28 |
| 1669974960 | Karen Jay Brocksmith | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-02 |
| 1295237758 | Sarah Doiron | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440 | 2018-03-01 |
| 1750883328 | April Lynne Saner | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-02-28 |
| 1568917094 | Colby L Monette | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-08-25 |
| 1083167720 | Mary Ann Cynthia Kairouz | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-07-29 |
| 1720445406 | Melanie M Barber | Social Worker | 31 Lake St, Gardner, MA 01440-3879 | 2016-01-26 |
| 1538524780 | Amanda Gallant | Day Training/Habilitation Specialist | 31 Lake St, Gardner, MA 01440-3879 | 2015-12-15 |
| 1568836971 | Christina Smith | Case Manager/Care Coordinator | 31 Lake St, Gardner, MA 01440-3879 | 2015-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740847987 | Julie M. Pera | Speech-Language Pathologist | 24 Lovewell St, Gardner, MA 01440-3525 | 2019-05-23 |
| 1023533668 | Maggie-claire Critchlow | Speech-Language Pathologist | 31 Lake St Ste 180, Gardner, MA 01440-3879 | 2017-08-04 |
| 1720477987 | Jennifer Wilson | Speech-Language Pathologist | 400 S Moonlight Rd, 12j, Gardner, KS 66030-2502 | 2015-01-12 |
| 1881030237 | Sara Beth Broyles | Speech-Language Pathologist | 31410 W 174th Ter, Gardner, KS 66030-9158 | 2013-05-13 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1972814986 | Jerica Marie Gallardo | Speech-Language Pathologist | 850 N Mulberry St, Gardner, KS 66030-1822 | 2010-06-24 |
| 1750520896 | Renee Moore | Speech-Language Pathologist | 6110 E Main Rd, Gardner, IL 60424-6146 | 2009-02-12 |
| 1902000334 | Ella Lutzka | Speech-Language Pathologist | 72 Nichols St # 1, Gardner, MA 01440-4012 | 2007-06-11 |
| 1568596880 | Patricia Ann Mccourt | Speech-Language Pathologist | 457 W Dogwood Ct, Gardner, KS 66030-9231 | 2007-03-16 |
| 1396877312 | Sarah Melissa Nolan | Speech-Language Pathologist | 940 Witch Hollow St, Gardner, KS 66030-1795 | 2007-03-12 |
| Find all providers in GARDNER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.