Individual
ELLEN ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
430 30TH AVE, EAST MOLINE, IL 61244-3152
(309) 281-1430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242003294
IL
235Z00000X
Speech-Language Pathologist
Primary
7101005421
MI
Other
Enumeration date
10/07/2014
Last updated
05/06/2024
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