Individual
MRS. ELLEN STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
7100 W. CAMINO REAL, SUITE 201, BOCA RATON, FL 33433-5510
(561) 859-2010
(561) 963-1623
Mailing address
7100 W. CAMINO REAL, SUITE 201, BOCA RATON, FL 33433-5510
(561) 859-2010
(561) 963-1623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891363300
—
FL
Enumeration date
12/21/2009
Last updated
12/21/2009
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