CHARLES CARLISLE ELLIS

BAKERSFIELD, CA
NPI1922230010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP4590)
Enumeration Date2009-08-22
Last Update Date2009-08-22
Business Address
Mr. CHARLES CARLISLE ELLIS MA, CCC-SLP
14015 SANTA FE CT
BAKERSFIELD, CA 93314-8357
Phone number: 661-747-3236
Mailing Address
Mr. CHARLES CARLISLE ELLIS MA, CCC-SLP
PO BOX 20192
BAKERSFIELD, CA 93390-0192
Phone number: 661-747-3236