| Doctor Name: | ELLEN SMITH THOMAS |
| NPI Number: | 1326296237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC/LSLS CERT. AVT |
| License Number: | |
| Business Practice Address: | 475 Market Pl Building 1, Suite A Ann Arbor, MI - 481081649 |
| Business Phone Number: | 7349988119 |
| Business Fax Number: | 7349988122 |
| Mailing Address: | 475 Market Pl, Building 1, Suite A ANN ARBOR |
| State: | MI |
| Postal Code: | 481081649 |
| Phone Number: | 7349988119 |
| Fax Number: | 7349988122 |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 09/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |