Individual
ALLISON ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3597 KESWICK DR, ATLANTA, GA 30341-2003
(678) 585-4715
Mailing address
459 JAMES P BRAWLEY DR NW, ATLANTA, GA 30318-6801
(678) 567-6883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008873
GA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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