Ellese Carlson

NPI #1811302003 in Austin, Texas

Provider Information

NPI Number: 1811302003
Entity Type: Individual
Name: Ellese Carlson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Jun 25, 2014
Last Updated: Feb 12, 2015

Practice Location

Address: 706A W BEN WHITE BLVD
Address 2: 150A
City: Austin
State: Texas
ZIP Code: 78704-7144
Phone: (512) 441-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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