Basic Information
Provider Information
NPI: 1992478572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DELP
FirstName: ELLEN
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: AUD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 UNIVERSITY DRIVE
Address2:  
City: HERSHEY
State: PA
PostalCode: 170332360
CountryCode: US
TelephoneNumber: 8002431455
FaxNumber:  
Practice Location
Address1: 200 CAMPUS DRIVE
Address2: SUITE 400
City: HERSHEY
State: PA
PostalCode: 17033
CountryCode: US
TelephoneNumber: 7175316822
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/29/2021
LastUpdateDate: 09/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAT006749PAY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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