Individual
ELLEN PATRICIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1800 WESTWIND DR, BUILDING 500, BAKERSFIELD, CA 93301-3055
(661) 377-1700
(661) 616-9199
Mailing address
8302 ESPRESSO DR, 100, BAKERSFIELD, CA 93312-5687
(661) 377-1700
(661) 616-9199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE 8153
CA
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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