Individual
ASHLEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BRISTOL ST, BROOKLYN, NY 11212-5639
(718) 495-7801
Mailing address
111 BRISTOL ST, BROOKLYN, NY 11212-5639
(718) 495-7801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029025-01
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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