Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ebony Green, MS, CCC-SLP

Individual provider Speech-Language Assistant · NPI 1285030486

Mrs. Ebony Green, MS, CCC-SLP is a Qualified Speech Language Pathologist in Chandler, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2014
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

501 W Ray Rd Ste 1-2
Chandler, AZ 85225-7284
Phone: (480) 296-2363
Fax: (480) 685-9875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence AZSLP11463 (AZ)
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1285030486
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 15, 2014
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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