Individual
AMY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SYCAMORE AVE, LOUISVILLE, KY 40206-2013
(502) 895-5417
Mailing address
2141 SYCAMORE AVE, LOUISVILLE, KY 40206-2013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
01/16/2012
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