MRS. EBONY GREEN M.S., CCC-SLP
NPI 1285030486
Speech-Language Pathologist in Chandler, AZ

Q: What is Ebony Green's NPI number?

The NPI number for Ebony Green is 1285030486. It was assigned to this individual provider in the NPPES registry on November 15, 2014.

Q: What is Ebony Green's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Green was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2014

501 W RAY RD STE 1-2, CHANDLER, AZ 85225(480) 296-2363(480) 685-9875 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2021, Jan 2, 2020, Aug 20, 2019 and 2 more (5 updates tracked since 2015).

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About Mrs. Ebony Green M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EBONY GREEN M.S., CCC-SLP (NPI 1285030486) is an individual speech-language pathologist provider in Chandler, Arizona, licensed in Arizona (AZSLP11463) and active in the NPI registry since November 2014. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1285030486

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. EBONY GREENCredential: M.S., CCC-SLP

Location Address501 W RAY RD STE 1-2Chandler, AZ 85225-7284

Mailing Address137 E Mary LnGilbert, AZ 85295-1453 · (210) 701-4806

Phone(480) 296-2363

Fax(480) 685-9875

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 15, 2014

Last NPPES UpdateAugust 27, 20215 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1285030486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in AZ · AZSLP11463

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X

501 W RAY RD STE 1-2, Chandler, AZ 85225

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ebony Green M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305262957

PECOS Enrollment IDI20260206000129

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