Individual
ELIZABETH COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9520 PROTOTYPE CT, RENO, NV 89521-5916
(775) 852-6323
(775) 852-6321
Mailing address
9520 PROTOTYPE CT, RENO, NV 89521-5916
(775) 852-6323
(775) 852-6321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3079
NV
Other
Enumeration date
06/22/2021
Last updated
07/26/2024
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