Nicole Ellingsworth, MS, CCC-SLP
NPI #1750780565 in Bay Springs, Mississippi
Provider Information
- NPI Number
- 1750780565
- Entity Type
- Individual
- Name
- Nicole Ellingsworth, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Aug 18, 2014
- Last Updated
- Aug 18, 2014
Practice Location
- Address
- 15 S SIXTH ST
- City
- Bay Springs
- State
- Mississippi
- ZIP Code
- 39422-9052
- Phone
- (601) 764-2101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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