Lara Gabrielle Ely

NPI #1093443715 in Southlake, Texas

Provider Information

NPI Number
1093443715
Entity Type
Individual
Name
Lara Gabrielle Ely
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 10, 2022
Last Updated
Jul 26, 2023

Practice Location

Address
2400 N CARROLL AVE
State
Texas
ZIP Code
76092-3105
Phone
(817) 949-8400

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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