National Provider Identifier

Sophia P Ellis

Sophia P Ellis is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Elmira, NY and a listed phone number of (607) 733-6541.

NPI 1700564648Elmira, NYSpeech-Language Pathologist

Profile Overview

NPI
1700564648
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 10, 2023
Last Updated
July 10, 2023

Practice Location

  • 555 Saint Josephs Blvd
  • Elmira, NY 14901-3256

Phone: (607) 733-6541

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1700564648
Entity Type
Individual
Last Name
Ellis
First Name
Sophia
Middle Name
P
Mailing Street Address
555 Saint Josephs Blvd
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3256
Mailing Country
US
Practice Street Address
555 Saint Josephs Blvd
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3256
Practice Country
US
Practice Phone
(607) 733-6541
Enumeration Date
July 10, 2023
Last Updated
July 10, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 10, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)