Doctor Name: | ANDREA L KELLOGG |
NPI Number: | 1235303421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. SLP |
License Number: | 1125862 |
Business Practice Address: | 6091 S Quebec St Ste 200 Centennial, CO - 801114521 |
Business Phone Number: | 3035049945 |
Business Fax Number: | 3035049946 |
Mailing Address: | 6091 S Quebec St Ste 200, CENTENNIAL |
State: | CO |
Postal Code: | 801114521 |
Phone Number: | 3035049945 |
Fax Number: | 3035049946 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1125862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |