Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Carlisle Ellis, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922230010

Mr. Charles Carlisle Ellis, MA, CCC-SLP is a Speech-Language Pathologist in Bakersfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14015 Santa Fe Ct
Bakersfield, CA 93314-8357
Phone: (661) 747-3236
Fax: (661) 588-4242
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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 SP4590 (CA)

Record details

NPI number1922230010
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 22, 2009
Last updated in NPPESAugust 22, 2009

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