Individual
ELLEN BURSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 PROFESSIONAL PLZ # 101, GERMANTOWN, TN 38138-7915
(901) 328-2110
(901) 590-3999
Mailing address
2330 MCVAY CV, GERMANTOWN, TN 38138-4505
(901) 692-0736
(901) 590-3999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5590
TN
Other
Enumeration date
07/13/2016
Last updated
08/21/2016
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