Doctor Name: | DR. DAWN CARROLL ELLIS |
NPI Number: | 1184018343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | 05458 |
Business Practice Address: | 4901 16th St Ne Washington, DC - 200173116 |
Business Phone Number: | 2022771829 |
Business Fax Number: | |
Mailing Address: | 4901 16th St Ne, WASHINGTON |
State: | DC |
Postal Code: | 200173116 |
Phone Number: | 2022771829 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05458 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |