Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tina Anderson Ellsworth, MSEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1811188626

Mrs. Tina Anderson Ellsworth, MSEDCCC-SLP is a Speech-Language Pathologist in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

805 Nob Ridge Dr
Marietta, GA 30064-5736
Phone: (770) 429-0694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP006703 (GA)

Record details

NPI number1811188626
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSEDCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESAugust 6, 2007

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