Individual
ELISSA KILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 399-0064
Mailing address
729 1/2 OLIVE ST, SANTA BARBARA, CA 93101-1511
(805) 319-9161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20306
CA
Other
Enumeration date
09/16/2016
Last updated
05/22/2023
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