Kelli Katharina Ellenbaum in Bismarck - Speech-language Pathologist
Kelli Katharina Ellenbaum - NPI 1003934878
Kelli Katharina Ellenbaum is a Speech-language Pathologist in Bismarck, North Dakota. Kelli Katharina Ellenbaum practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelli Katharina Ellenbaum is 1003934878. The last update date is 2021-03-15.
Kelli Katharina Ellenbaum's current location address is 2625 N 19th St, Bismarck, North Dakota. You can contact this provider via phone number 7012223175 and fax number 7012223186. The mailing address for Kelli Katharina Ellenbaum is 2625 N 19th St, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Katharina Ellenbaum |
|---|---|
| Address | 2625 N 19th St, Bismarck, North Dakota |
| Phone Number | 7012223175 |
| Fax Number | 7012223186 |
| Sole Proprietor | N |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1003934878 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 2625 N 19th St |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 585030574 |
| Phone Number | 7012223175 |
| Fax Number | 7012223186 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 862 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1454835 | ND | -- | |
| 27424 | ND | BCBS ND PROVIDER NUMBER | |
| 54627 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelli Katharina Ellenbaum by the Centers for Medicare & Medicaid Services?
The Kelli Katharina Ellenbaum has been issued the NPI (National Provider Identifier) 1003934878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelli Katharina Ellenbaum?
The Kelli Katharina Ellenbaum is physically situated at 2625 N 19Th St, in the city of Bismarck, state of ND, with the postal code 585030574.
What is Kelli Katharina Ellenbaum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelli Katharina Ellenbaum's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003934878 to Kelli Katharina Ellenbaum?
The Centers for Medicare & Medicaid Services originally issued the 1003934878 to Kelli Katharina Ellenbaum on 2007-03-27.
When was the information related to Kelli Katharina Ellenbaum most recently updated or refreshed?
The details pertaining to the Kelli Katharina Ellenbaum, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-15.
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