Organization
COLETTE ELLIS M.ED., CCC-SLP & ASSOCIATES
Active
Other names
29th Street Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLETTE L. ELLIS M.ED., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 224-0002
Entity
Organization
Contact information
Practice address
1211 S 29TH ST, CHICKASHA, OK 73018-9651
(405) 224-0002
(405) 224-0133
Mailing address
1211 S 29TH ST, CHICKASHA, OK 73018-9651
(405) 224-0002
(405) 224-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
327
OK
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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