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Search › Kentucky › 235Z00000X

Ellery Wallace, MS, CCC-SLP

NPI 1699330597 · on the registry since 2019

Practice

Address
2427 Russellville Rd
Bowling Green, KY 42101
Phone
(270) 936-7472
Fax
(317) 520-0820
Organisation at this address
Hopebridge, Llc
Hopebridge, Llc
Hopebridge, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
192

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky