Individual
ELLEN MARIE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1111 S HIGHLAND AVE, CLEARWATER, FL 33756-4432
(727) 446-0581
Mailing address
7401 RIDGE RD, SEMINOLE, FL 33772-5227
(973) 864-4371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15738
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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