Ellison, Jillian L

Ellison, Jillian L is an individual health care provider with primary practice located at 80 Maddex Dr , Shepherdstown WV 25443-4305. 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. Ellison, Jillian L can be contacted via phone (304) 876-9422.

Contact Information

Primary practice address
80 Maddex Dr Shepherdstown WV 25443-4305
Fax: (304) 876-6279
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14001506 West Virginia

Profile Details

NPI number 1861525073
LBN Legal business name Ellison, Jillian L
Credentials CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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