Doctor Name: | KELLY A MOREL |
NPI Number: | 1225276116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP/TSSLD |
License Number: | 016454-1 |
Business Practice Address: | 253-11 87th Ave Bellerose, NY - 11426 |
Business Phone Number: | 3472316832 |
Business Fax Number: | 7184134803 |
Mailing Address: | 25311 87th Ave, BELLEROSE |
State: | NY |
Postal Code: | 114262416 |
Phone Number: | 3472316832 |
Fax Number: | 7184134803 |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 016454-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |