Provider Demographics
NPI:1023273679
Name:ELIAS, NATALIE (MS, SLP)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:ELIAS
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27050 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33982-1857
Mailing Address - Country:US
Mailing Address - Phone:941-575-5475
Mailing Address - Fax:
Practice Address - Street 1:27050 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33982-1857
Practice Address - Country:US
Practice Address - Phone:941-575-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist