Doctor Name: | MRS. ABBEY ELLISTON |
NPI Number: | 1427396084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 106786 |
Business Practice Address: | 6701 Sanger Ave Waco, TX - 767107736 |
Business Phone Number: | 2543998255 |
Business Fax Number: | 2542353408 |
Mailing Address: | 6701 Sanger Ave, WACO |
State: | TX |
Postal Code: | 767107736 |
Phone Number: | 2543998255 |
Fax Number: | 2542353408 |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |