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Mrs. Kelli Katharina Ellenbaum, MS,CCC-SLP
Speech-Language Pathologist in Bismarck, North Dakota
NPI 1003934878

Kelli Katharina Ellenbaum is a Speech-Language Pathologist based in Bismarck, ND. Kelli Katharina Ellenbaum practices in Bismarck, ND and has the professional credentials of MS,CCC-SLP. The NPI Number for Kelli Katharina Ellenbaum is 1003934878 and holds a License No. 862 (North Dakota).

The current practice location address for Kelli Katharina Ellenbaum is 2625 N 19Th St, Bismarck, ND and can be reached out via phone at 701-222-3175 and via fax at 701-222-3186.

Location: 2625 N 19Th St, Bismarck, ND, 58503-0574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003934878
Provider Name
Kelli Katharina Ellenbaum
Credential
MS,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
2625 N 19Th St, Bismarck, ND, 58503-0574
Phone Number
701-222-3175
Fax Number
701-222-3186
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454835 05 ND
27424 01 ND BCBS ND PROVIDER NUMBER
54627 05 ND
institution
Provider Business Practice Location Address Details
Address
2625 N 19Th St
City
Bismarck
State
North Dakota
Zip
58503-0574
Phone Number
701-222-3175
Fax Number
701-222-3186
person
Provider Business Mailing Address Details
Address
2625 N 19Th St
City
Bismarck
State
North Dakota
Zip
58503-0574
Phone Number
701-222-3175
Fax Number
701-222-3186
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
862 (North Dakota)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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