Individual
ELLYN BAERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8584 EDEN ISLES LN, MERRITT ISLAND, FL 32952-6800
(321) 795-6007
(321) 779-1332
Mailing address
8584 EDEN ISLES LN, MERRITT ISLAND, FL 32952-6800
(321) 795-6007
(321) 779-1332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6364
FL
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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