Mary T. Ellingson MS, SLP
Speech-Language Pathologist in Minot, ND(View on Map)
Full Name
Mary T Ellingson MS, SLP
NPI Number
1518539220
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/13/2021
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
1959
Contact
Information
Purpose
Mailing
Location
Address
2625 N 19TH ST
2080 36TH AVE SW STE 110
City
Bismarck
Minot
State
ND
ND
Postal Code
58503-0574
58701-7597
Country
US
US
Telephone Number
(701) 222-3175
(701) 222-3175
Identifiers
Identifier
1483043
Identifier State
ND
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/29/2022