Lara Gabrielle Ely
Lara Gabrielle Ely is a Speech-Language Pathologist in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
2400 N Carroll AveSouthlake, TX 76092-3105
Phone: (817) 949-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 116742 (TX) |
|---|
Record details
| NPI number | 1093443715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2022 |
| Last updated in NPPES | July 26, 2023 |
| Certification date | July 26, 2023 |
| Mailing address | 4114 Cozy Pine Dr, Northlake, TX 76226-2722 |
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