Individual
MONICA THERESE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1106 E PROSPECT RD STE 200, FORT COLLINS, CO 80525-5304
(970) 495-8458
Mailing address
3200 AZALEA DR APT W2, FORT COLLINS, CO 80526-5715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002776
CO
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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