Individual
SUSAN ELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
850 INCA PKWY, BOULDER, CO 80303-2606
(303) 817-4558
Mailing address
850 INCA PKWY, BOULDER, CO 80303-2606
(303) 817-4558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01073205
CO
Other
Enumeration date
06/26/2009
Last updated
06/04/2021
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