Individual
ELLA CHRISTINE GOGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 E DUPONT RD, FORT WAYNE, IN 46825-1583
(260) 450-3617
Mailing address
9921 TIFFANY DR, FORT WAYNE, IN 46804-3955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14501498
IN
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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