Colette Ellis M.Ed., CCC-SLP & Associates
Organization Active NPI Speech-Language Pathologist · Chickasha, OK
NPI 1891963278 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1891963278
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 327 (OK)
- Legal business name
- COLETTE ELLIS M.ED., CCC-SLP & ASSOCIATES
- Practice address
- 1211 S 29TH St
Chickasha, OK 73018-9651 - Phone
- (405) 224-0002
- Fax
- (405) 224-0133
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Colette L. Ellis, M.ED., CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (405) 224-0002
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 327 | OK | Yes |
Addresses
Primary practice location
1211 S 29TH St
Chickasha, OK 73018-9651
Mailing address
1211 S 29TH St
Chickasha, OK 73018-9651
Phone (405) 224-0002
Other names
- 29th Street Therapy Center
Other providers in Chickasha, OK
- Belinda Clay
- Jason Clemons
- Christen Roberson Clift
- Janice Cockrum
- Thomas H. Coe
- Convalescent Center of Grady County
- Tara Diane Conway
- Mitchell D Coppedge
- Raymond L Cornelison
- Kayla Dawhn Cornett
All providers in Chickasha, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. 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.