Individual
NATHANIEL BYRON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
600 GREENVILLE AVE, STAUNTON, VA 24401
(540) 332-3940
Mailing address
600 GREENVILLE AVE, STAUNTON, VA 24401-4881
(540) 332-3940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006320
VA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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