Ellison Arlene Lind, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bow, WA
NPI 1710697859 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1710697859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 9939 Sea Crest LN
Bow, WA 98232-9347 - Phone
- (360) 630-8256
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
9939 Sea Crest LN
Bow, WA 98232-9347
Mailing address
9939 Sea Crest LN
Bow, WA 98232-9347
Phone (360) 630-8256
Other providers in Bow, WA
- Londa Sue Damon
- Dentall
- Jennifer Marie Hamley
- Patricia Klipple
- Kristen Layman
- Winifred Gail McNamara
- Catrice Opichka
- Morgan Grace Reid
- Misha Yukiko Sakura
- Christine H Waddell
All providers in Bow, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. 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.