Provider Demographics
NPI:1669357489
Name:MCKEARIN, ELLA
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:MCKEARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 QUAKER LN APT 2521
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5088
Mailing Address - Country:US
Mailing Address - Phone:802-282-7198
Mailing Address - Fax:
Practice Address - Street 1:110 AIRPORT RD STE 102
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3434
Practice Address - Country:US
Practice Address - Phone:401-348-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP01634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist