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Colette Leonie Ellis, M.Ed.,CCC-SLP

Speech-Language Pathologist, in Chickasha, OK. Individual provider (NPI-1).

NPI number1043364458
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043364458
Entity type
Individual (NPI-1)
Name
Mrs. Colette Leonie Ellis
Credential
M.Ed.,CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,327OKYes

Practice location

1211 S 29th St
Chickasha, OK 73018-9651

Phone 405-224-0002 · Fax 405-224-0133

Mailing address

415 Fieldcrest Dr
Chickasha, OK 73018-7755

Phone 405-921-2979

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All 26 Speech-Language Pathologist providers in Chickasha · All 487 providers in Chickasha

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