Individual
KIMBERLY LYNN ELLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
STORYPOINT, 3951 W MILHAM AVE, PORTAGE, MI 49024
(269) 329-0200
Mailing address
1035 MOHAWK HILLS DRIVE, APT D, CARMEL, IN 46032
(765) 366-1587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
46002371A
IN
235Z00000X
Speech-Language Pathologist
Primary
7101006077
MI
Other
Enumeration date
09/12/2012
Last updated
10/17/2019
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