Ellen Cleveland, SLP
Individual provider Active NPI Speech-Language Pathologist · Palestine, TX
NPI 1568084697 · NPPES record last updated May 12, 2020
Key facts
- NPI
- 1568084697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 114446 (TX)
- Practice address
- 2702 Bentwood Dr
Palestine, TX 75803-9589 - Phone
- (903) 274-6421
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114446 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114446 | TX | Yes |
Addresses
Primary practice location
2702 Bentwood Dr
Palestine, TX 75803-9589
Mailing address
2702 Bentwood Dr
Palestine, TX 75803-9589
Other providers in Palestine, TX
- Seth Alexander Chapman
- Cathy Renea Cheatham
- Thomas Chick
- Lareen K Chonzena
- Bryan Cleveland
- Makayla Clifton
- Coastal Kids Autism Treatment Center, LLC
- Melissa Marie Cobb
- Desiree Amber Cody
- Relvert J. Coe Jr.
All providers in Palestine, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.