Individual
AMY L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNS CCC SLP
Contact information
Practice address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(623) 412-1408
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(623) 412-1408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0185
AZ
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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