Individual
COLLEEN ELIZABETH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
20 E CLINTON AVE, HADDON TOWNSHIP, NJ 08107-1355
(215) 603-2851
Mailing address
20 E CLINTON AVE, HADDON TOWNSHIP, NJ 08107-1355
(215) 603-2851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00531400
NJ
Other
Enumeration date
11/16/2011
Last updated
06/11/2013
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