Individual
ELLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
W220N6151 TOWN LINE RD, SUSSEX, WI 53089-3923
(262) 246-6471
Mailing address
W220N6151 TOWN LINE RD, SUSSEX, WI 53089-3923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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