Most Relevant Information
Provider Data
| NPI Number: | 1003346677 |
| Provider Name: | DREE ELLINGWORTH CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 22007852A |
Most Important Dates
| Enumeration Date: | 06/15/2017 |
| Last Updated: | 04/29/2022 |
Provider Practice Location
10294 E 96TH ST
FISHERS
IN
460379497
Practice Location Phone/Fax
| Phone: | 5154600537 |
| Fax: |
Provider Mailing Location
14198 BAY WILLOW DR
FISHERS
IN
460370029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |