Individual
EMMA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
15 SAUNDERS WAY, WESTBROOK, ME 04092-4833
(207) 878-9663
Mailing address
138 SHERMAN ST APT 3, PORTLAND, ME 04101-5213
(774) 994-2199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3540
ME
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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