Individual provider · Type 1 NPI

Thomas Douglas Ellison, MA, CCC-SLP, TSSLD

Speech-Language Pathologist · New York, NY

NPI number 1528626009 Active

Practice location

5030 Broadway Ste 809
New York, NY 10034-1666

Call (212) 304-0400 Map

Mailing address

259 Bennett Ave Apt 7G
New York, NY 10040-2485

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X027539 (NY)

Speech-Language Pathologist: 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, resonan…

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About NPI 1528626009

Thomas Douglas Ellison, MA, CCC-SLP, TSSLD's National Provider Identifier is 1528626009, issued on May 30, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in New York, NY. The record was last updated on May 30, 2019.