Doctor Name: | MRS. KELLY ANN WADE |
NPI Number: | 1346479870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP7904 |
Business Practice Address: | 58 Blackberry Dr Hudson, OH - 442364700 |
Business Phone Number: | 3309728186 |
Business Fax Number: | 3309727884 |
Mailing Address: | 181 Polsky Building, AKRON |
State: | OH |
Postal Code: | 443253001 |
Phone Number: | 3309728186 |
Fax Number: | 3309727884 |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |