Individual
MISS JULIA KATHRYN ELLERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1021 CLINTON ST, UNIT 2, PHILADELPHIA, PA 19107-6086
(515) 570-2047
Mailing address
1021 CLINTON ST, UNIT 2, PHILADELPHIA, PA 19107-6086
(515) 570-2047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
001381
IA
235Z00000X
Speech-Language Pathologist
Primary
SL009971
PA
Other
Enumeration date
09/07/2010
Last updated
12/07/2021
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