Individual
MRS. KATIE GRIMES ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED, CCC/SLP
Contact information
Practice address
667 KINGS WAY, MAYSVILLE, KY 41056-8140
(606) 375-5308
Mailing address
667 KINGS WAY, MAYSVILLE, KY 41056-8140
(606) 375-5308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3339
KY
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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