Dezellem, Ellen

Dezellem, Ellen is an sole proprietor health care provider with primary practice located at 216 E 4Th St , Port Angeles WA 98362-3200. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dezellem, Ellen can be contacted via phone (360) 565-1733.

Contact Information

Primary practice address
216 E 4Th St Port Angeles WA 98362-3200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL60535425 Washington

Profile Details

NPI number 1972995405
LBN Legal business name Dezellem, Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2015
Last updated Feb 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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