Individual
DEBORAH T ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2525 CENTERVILLE RD, DALLAS, TX 75228-2634
(214) 324-3328
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11780
TX
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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