Provider Demographics
NPI:1326717950
Name:ELL, PRISCILLA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:ELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 WEBB PL STE 310
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2463
Mailing Address - Country:US
Mailing Address - Phone:603-842-4924
Mailing Address - Fax:
Practice Address - Street 1:51 WEBB PL STE 310
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2454
Practice Address - Country:US
Practice Address - Phone:603-842-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist