Individual
STEPHANIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
Mailing address
216 N JANDA AVE, TABOR, SD 57063-2011
(605) 660-9488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
060
SD
Other
Enumeration date
06/08/2016
Last updated
10/28/2025
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