Individual
GAYLE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5001 S 69TH ST, LINCOLN, NE 68516-1566
(402) 499-3747
Mailing address
5001 S 69TH ST, LINCOLN, NE 68516-1566
(402) 327-7140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
290
NE
Other
Enumeration date
09/23/2008
Last updated
12/18/2013
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