| Doctor Name: | MS. KELLIE MARIE JARRETT |
| NPI Number: | 1013132091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCCSLP |
| License Number: | SL008383 |
| Business Practice Address: | 110 Campus Drive Bradford, PA - 16701 |
| Business Phone Number: | 8148875591 |
| Business Fax Number: | 8148875666 |
| Mailing Address: | 1223 East Valley Rd, SMETHPORT |
| State: | PA |
| Postal Code: | 16749 |
| Phone Number: | 8145580084 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL008383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |