Doctor Name: | SARA KELLER |
NPI Number: | 1437570132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | |
Business Practice Address: | 700 Jones Cir Lewisburg, TN - 370912427 |
Business Phone Number: | 4236221551 |
Business Fax Number: | 8778567133 |
Mailing Address: | Po Box 8114, CHATTANOOGA |
State: | TN |
Postal Code: | 374140114 |
Phone Number: | 4236221551 |
Fax Number: | 8778567133 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |