Individual
DREE ELLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10294 E 96TH ST, FISHERS, IN 46037-9497
(515) 460-0537
Mailing address
14198 BAY WILLOW DR, FISHERS, IN 46037-0029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007852A
IN
Other
Enumeration date
06/15/2017
Last updated
04/29/2022
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