Individual
AMY CATHERINE ELLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CFY
Contact information
Practice address
1401 RICE RD, TYLER, TX 75703-3233
(903) 561-6060
Mailing address
5872 OLD JACKSONVILLE HWY APT 325, TYLER, TX 75703-0606
(601) 597-7725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114714
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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