MRS. Brandi Marisa Bazemore Ellis, M.S. CCC-SLP
NPI #1659992808 in Statesboro, Georgia
Provider Information
- NPI Number
- 1659992808
- Entity Type
- Individual
- Name
- MRS. Brandi Marisa Bazemore Ellis, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Apr 29, 2020
- Last Updated
- Apr 29, 2020
Practice Location
- Address
- 508 GENTILLY RD
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-5149
- Phone
- (912) 681-7768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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