Ellison Arlene Lind, CCC-SLP
Speech-Language Pathologist, in Bow, WA. Individual provider (NPI-1).
NPI number1710697859
StatusActive
Last updated in NPPESNov 30, 2022
Details
- NPI
- 1710697859
- Entity type
- Individual (NPI-1)
- Name
- Ellison Arlene Lind
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2022
- Certification date
- Nov 30, 2022
- Last updated
- Nov 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
9939 Sea Crest LnBow, WA 98232-9347
Phone 360-630-8256
Mailing address
9939 Sea Crest LnBow, WA 98232-9347
Phone 360-630-8256
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