MS. Jamie Ellsworth, SLP
NPI #1467570432 in Bloomington, Illinois
Provider Information
- NPI Number
- 1467570432
- Entity Type
- Individual
- Name
- MS. Jamie Ellsworth, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 700 E WALNUT ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3244
- Phone
- (309) 827-8004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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