Individual
MRS. ABBEY ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6701 SANGER AVE, WACO, TX 76710-7736
(254) 399-8255
(254) 235-3408
Mailing address
6701 SANGER AVE, WACO, TX 76710-7736
(254) 399-8255
(254) 235-3408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106786
STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
TX
Enumeration date
01/16/2013
Last updated
01/16/2013
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