Individual
AVERI ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
3109 ELM DR, ALLENTOWN, PA 18103-3625
(610) 504-2728
Mailing address
3109 ELM DR, ALLENTOWN, PA 18103-3625
(610) 504-2728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012756
PA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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