Individual
KRISTA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
21 S PINE ST, ELVERSON, PA 19520-9720
(610) 286-0977
(610) 286-0986
Mailing address
520 PHILADELPHIA ST, INDIANA, PA 15701-3902
(724) 463-7478
(724) 463-0931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007534
PA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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