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

MS. Ellen-Beth Fullwood, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1386894574

MS. Ellen-Beth Fullwood, MSCCC-SLP is a Speech-Language Pathologist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

15114 Cloverdale Dr
Fort Myers, FL 33919-8308
Phone: (239) 410-2629
Fax: (309) 410-2629
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 SA9064 (FL)

Record details

NPI number1386894574
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 24, 2008
Last updated in NPPESSeptember 24, 2008

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