Carla R Ellison MS, CCC-SLP

NPI 1164633582 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1164633582
Gender Female
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3700 WASHINGTON AVE
EVANSVILLE IN, 47750-0001, US
Phone (812) 485-5603
Fax
Business Location
3700 WASHINGTON AVE
EVANSVILLE IN, 47750-0001, US
Phone (812) 485-5603
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Indiana
License Number 22002801A
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According to our database, Carla R Ellison MS, CCC-SLP NPI is 1164633582, taxonomy code is 235Z00000X and license number is 22002801A, license state is located at Indiana. Carla R Ellison MS, CCC-SLP physically located at 3700 Washington Ave, Evansville IN, 47750-0001. NPI Number Carla R Ellison MS, CCC-SLP has the Individual type.

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1164633582 NPI number is provided on an as is basis without warranty of any kind. 1164633582 is maintained by the National Plan & Provider Enumeration System. The contents of Carla R Ellison MS, CCC-SLP are for informational purposes only.