| Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP | |
|
2625 N 19th St, Bismarck, ND 58503-0574 | |
| (701) 222-3175 | |
| (701) 222-3186 |
| Full Name | Mrs Kelli Katharina Ellenbaum |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2625 N 19th St, Bismarck, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003934878 | NPI | - | NPPES |
| 1454835 | Medicaid | ND | |
| 27424 | Other | ND | BCBS ND PROVIDER NUMBER |
| 54627 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 862 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP 2625 N 19th St, Bismarck, ND 58503-0574 Ph: (701) 222-3175 | Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP 2625 N 19th St, Bismarck, ND 58503-0574 Ph: (701) 222-3175 |
Sierra Larae Burgess, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 S 12th St, Bismarck, ND 58504 Phone: 701-222-3175 Fax: 701-222-3186 | |
Rebecca Mcgillivray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 720 N 14th St, Bismarck, ND 58501 Phone: 701-323-4400 | |
Mrs. Karen Kaylene Davis, M. A. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1600 E Interstate Ave Ste 3, Bismarck, ND 58503 Phone: 701-751-1125 Fax: 701-751-0729 | |
Linaya Ming, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 N 19th St, Bismarck, ND 58503 Phone: 701-222-3175 Fax: 701-222-3186 | |
Donna Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 | |
Kourtney Carr, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 |