IndividualActive
Laura Ellis, SLP
NPI 1497104558 · Speech-Language Pathologist · Sullivan, IL
Provider details
- NPI number
- 1497104558
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146005004 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1 Masonic Way
Sullivan, IL 61951
Phone: (217) 728-4394
Approximate (ZIP-level) locationGet directions
Mailing address
23 Country Club Est.
Sullivan, IL 61951
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.