Individual
MS. NIKKI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
301 PARK AVE, BECKLEY, WV 25801-5355
(304) 256-4555
Mailing address
124 STONE CREEK DR, DANIELS, WV 25832-9771
(304) 673-0829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0938
WV
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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