Individual
ELLERY ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
12507 78TH AVE W, ANDALUSIA, IL 61232-9534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
37331
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
03/20/2026
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