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

Thomas Douglas Ellison, MA, CCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1528626009

Thomas Douglas Ellison, MA, CCC-SLP, TSSLD is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5030 Broadway Ste 809
New York, NY 10034-1666
Phone: (212) 304-0400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 027539 (NY)

Record details

NPI number1528626009
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedMay 30, 2019
Last updated in NPPESMay 30, 2019

Other providers in New York