Individual
ELLEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1297 WINTER GARDEN VINELAND RD # 112, WINTER GARDEN, FL 34787-6706
(407) 852-3300
Mailing address
7416 COLBURY AVE, WINDERMERE, FL 34786-6319
(201) 452-4234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14046
FL
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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