NPI 1003934878

Kelli Katharina Ellenbaum, MSCCCSLP

Practitioner Speech-Language Pathologist Bismarck, ND

Practice location

Address: 2625 N 19th St, Bismarck, ND 58503-0574
Phone: (701) 222-3175
Fax: (701) 222-3186

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 862 (ND)

Other Speech-Language Pathologist providers in North Dakota →

Registry record

NPI: 1003934878
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2007
Record last updated: 15 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.