Provider Demographics
NPI:1346866878
Name:STIMSON, ELLA (AUD)
Entity Type:Individual
Prefix:DR
First Name:ELLA
Middle Name:
Last Name:STIMSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-4337
Mailing Address - Country:US
Mailing Address - Phone:512-665-1382
Mailing Address - Fax:
Practice Address - Street 1:15 SOUTHGATE AVE STE 210
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1414
Practice Address - Country:US
Practice Address - Phone:650-758-5363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist