Provider Demographics
NPI:1730376757
Name:TORRE, ELENA V (MS, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:V
Last Name:TORRE
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31433 VIVID VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5930
Mailing Address - Country:US
Mailing Address - Phone:404-933-0694
Mailing Address - Fax:
Practice Address - Street 1:31433 VIVID VIEW DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-5930
Practice Address - Country:US
Practice Address - Phone:404-933-0694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4972235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist