Doctor Name: | MRS. KELLI GAUDIN PRIEST |
NPI Number: | 1003195637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 6292 |
Business Practice Address: | 930 Folly Rd Ste B Charleston, SC - 294123938 |
Business Phone Number: | 8433145434 |
Business Fax Number: | |
Mailing Address: | 930 Folly Rd Ste B, CHARLESTON |
State: | SC |
Postal Code: | 294123938 |
Phone Number: | 8433145434 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2011 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |