Individual
ELLEN SAIZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
15465 OAK LN STE 100C, GULFPORT, MS 39503-2663
(228) 344-0078
Mailing address
15465 OAK LN STE 100C, GULFPORT, MS 39503-2663
(228) 344-0078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4300
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06177001
—
MS
Enumeration date
01/22/2019
Last updated
07/23/2019
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