Kelli Katharina Ellenbaum, MS, CCC-SLP

Speech-Language Pathologist · Bismarck, ND

Individual Active NPI

NPI number 1003934878

Practice location

2625 N 19TH St
Bismarck, ND 58503-0574
Phone
(701) 222-3175
Fax
(701) 222-3186

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NPI record

NPI
1003934878
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
March 15, 2021
Certified
March 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 862 ND

About Kelli Ellenbaum

Kelli Katharina Ellenbaum, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2625 N 19TH St, Bismarck, ND 58503-0574. The NPI number 1003934878 was assigned on March 27, 2007 and the record was last updated on March 15, 2021.

Kelli Ellenbaum lists a license in the registry: #862 (ND) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli Katharina Ellenbaum, MS, CCC-SLP?

The NPI number is 1003934878.

What is the phone number of Kelli Ellenbaum?

The phone number listed for the practice location is (701) 222-3175.

Where is Kelli Ellenbaum located?

2625 N 19TH St, Bismarck, ND 58503-0574.

What is the taxonomy code for Kelli Ellenbaum?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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