Individual
ALLISON ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SHIRE RIDGE DR, AUSTIN, TX 78732-2064
(512) 266-2493
Mailing address
2600 SHIRE RIDGE DR, AUSTIN, TX 78732-2064
(512) 266-2493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100410
TX
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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