Doctor Name: | COLLEEN KELLAR |
NPI Number: | 1386005403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC/SLP |
License Number: | SP7811 |
Business Practice Address: | 6000 Youngstown Warren Rd Niles, OH - 444464624 |
Business Phone Number: | 3305052800 |
Business Fax Number: | |
Mailing Address: | 6000 Youngstown Warren Rd, NILES |
State: | OH |
Postal Code: | 444464624 |
Phone Number: | 3305052800 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7811 |
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 |