Individual
MRS. ELLEN MARIE NIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2995 N UMBERLAND DR, TALLAHASSEE, FL 32309-6812
(850) 668-7052
Mailing address
2995 N UMBERLAND DR, TALLAHASSEE, FL 32309-6812
(850) 668-7052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA3201
FL
Other
Enumeration date
10/11/2006
Last updated
07/09/2007
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