Individual
RITA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1215 TRINITY PL, MISHAWAKA, IN 46545-5000
(574) 406-0199
Mailing address
54868 LEONA CT, BRISTOL, IN 46507-9479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006419A
IN
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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