Individual
ELYSA TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
407 S JACKSON ST, CLINTON, IL 61727-2212
(217) 935-6772
Mailing address
407 S JACKSON ST, CLINTON, IL 61727-2212
(217) 935-6772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009871
IL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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