MRS. Kelli Katharina Ellenbaum, MS, CCC-SLP
NPI #1003934878 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1003934878
- Entity Type
- Individual
- Name
- MRS. Kelli Katharina Ellenbaum, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 2625 N 19TH ST
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58503-0574
- Phone
- (701) 222-3175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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