Ellen Cleveland, SLP
Speech-Language Pathologist, in Palestine, TX. Individual provider (NPI-1).
NPI number1568084697
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1568084697
- Entity type
- Individual (NPI-1)
- Name
- Ellen Cleveland
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 114446 | TX | Yes |
Practice location
2702 Bentwood DrPalestine, TX 75803-9589
Phone 903-274-6421
Mailing address
2702 Bentwood DrPalestine, TX 75803-9589
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