Individual
ELANA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
46 PAULS LN, PORT MATILDA, PA 16870-7951
(814) 689-3319
Mailing address
46 PAULS LN, PORT MATILDA, PA 16870-7951
(814) 689-3319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005673L
PA
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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