Lesley Thomas Ellison

NPI #1912207937 in Petal, Mississippi

Provider Information

NPI Number: 1912207937
Entity Type: Individual
Name: Lesley Thomas Ellison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 314 BRYANT ST
City: Petal
State: Mississippi
ZIP Code: 39465-3906
Phone: (601) 544-0391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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