LESLEY ELLISON
Speech-Language Pathologist
Active
Individual
NPI: 1912207937
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | S3294 (MS) |
Frequently Asked Questions
NPI 1912207937 is the National Provider Identifier for LESLEY ELLISON, a Speech-Language Pathologist provider located in Petal, MS. This NPI was enumerated on October 25, 2010.
LESLEY ELLISON practices at 314 BRYANT ST, Petal, MS 39465.
Quick Facts
- NPI
- 1912207937
- Type
- Individual
- Enumerated
- Oct 25, 2010
- Last Updated
- Oct 25, 2010
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