Individual
ALEXANDRA ELLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7855 S EMERSON AVE STE W, INDIANAPOLIS, IN 46237-8669
(317) 691-4539
Mailing address
7514 MADDEN DR, FISHERS, IN 46038-1368
(317) 506-9523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007327A
IN
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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