Individual
ANNA KATHRYN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 17TH AVE, VERO BEACH, FL 32960-3641
(772) 562-6877
Mailing address
860 PIRATES COVE LN, HUTCHINSON ISLAND, FL 34949-8458
(615) 587-3832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI3861
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ10066
FL
Other
Enumeration date
06/20/2019
Last updated
08/25/2021
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