| Doctor Name: | KIRSTEN REMELY |
| NPI Number: | 1124490131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | O4-0000472 |
| Business Practice Address: | 1001 S Bradford St Ste 9 Dover, DE - 199044153 |
| Business Phone Number: | 3025261959 |
| Business Fax Number: | 3025262182 |
| Mailing Address: | 14500 Bustleton Ave Ste 1a, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191161188 |
| Phone Number: | 2156136523 |
| Fax Number: | 2156136527 |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | O4-0000472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| 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 |