Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Lucena Ellis, MA-CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1821297300

MS. Mary Lucena Ellis, MA-CCC/SLP is a Speech-Language Pathologist in Rock Island, Illinois. Practices as a sole proprietor. Licensed in California, Iowa and Illinois.

Licensed in
CA, IA, IL
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

2810 45th St
Rock Island, IL 61201-5860
Phone: (309) 737-6304
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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 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 01132 (IA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence MA7678 (CA)

Record details

NPI number1821297300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-CCC/SLP
Sole proprietorYes
NPI enumeratedJuly 13, 2007
Last updated in NPPESJuly 13, 2007

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