National Provider Identifier
Karen A Ellsworth
Karen A Ellsworth is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 257-2530.
Profile Overview
- NPI
- 1245587542
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 07, 2012
- Last Updated
- August 07, 2012
Practice Location
- 555 Warren RD
- Ithaca, NY 14850-1862
Phone: (607) 257-2530
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1245587542
- Entity Type
- Individual
- Last Name
- Ellsworth
- First Name
- Karen
- Middle Name
- A
- Name Prefix
- Mrs.
- Provider Other Last Name
- Ellsworth
- Provider Other First Name
- Karen
- Provider Other Middle Name
- Ann Arnold
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 555 Warren RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1862
- Mailing Country
- US
- Practice Street Address
- 555 Warren RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1862
- Practice Country
- US
- Practice Phone
- (607) 257-2530
- Enumeration Date
- August 07, 2012
- Last Updated
- August 07, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)