Doctor Name: | ELLEN BOHLING CARRELL |
NPI Number: | 1538368709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP004405 |
Business Practice Address: | 6135 Roosevelt Hwy Warm Springs, GA - 31830 |
Business Phone Number: | 7066555636 |
Business Fax Number: | |
Mailing Address: | 343 George W. Towns Ave., TALBOTTON |
State: | GA |
Postal Code: | 31830 |
Phone Number: | 7064571117 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |