Individual
MEGAN TERESE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
126 REGENCY WOODS LN, IMPERIAL, MO 63052-1966
(708) 227-6150
Mailing address
126 REGENCY WOODS LN, IMPERIAL, MO 63052-1966
(708) 227-6150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014034143
MO
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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