Individual
MRS. ADA LISA ELLEGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2625 BARNA AVE, TITUSVILLE, FL 32780-3417
(407) 844-6812
Mailing address
2625 BARNA AVE, TITUSVILLE, FL 32780-3417
(407) 844-6812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7976
FL
Other
Enumeration date
08/04/2009
Last updated
04/10/2026
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