Individual
MRS. KELLI S ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-6603
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-6603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2081
AL
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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