National Provider Identifier

Ellen Elizabeth Miller, CCC-SLP

Ellen Elizabeth Miller, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 274-2209.

NPI 1841916780Ithaca, NYSpeech-Language Pathologist

Profile Overview

NPI
1841916780
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 12, 2022
Last Updated
January 10, 2025

Practice Location

  • 302 W Buffalo St
  • Ithaca, NY 14850-4124

Phone: (607) 274-2209

Mailing Address

  • 818 N Aurora St
  • Ithaca, NY 14850-3727

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1841916780
Entity Type
Individual
Last Name
Miller
First Name
Ellen
Middle Name
Elizabeth
Credential
CCC-SLP
Mailing Street Address
818 N Aurora St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3727
Mailing Country
US
Mailing Phone
(607) 793-0403
Practice Street Address
302 W Buffalo St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4124
Practice Country
US
Practice Phone
(607) 274-2209
Enumeration Date
October 12, 2022
Last Updated
January 10, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)