Doctor Name: | KELLI MCNAMARA |
NPI Number: | 1548553381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | 41YS0065900 |
Business Practice Address: | 300 Meadow Lks Hightstown, NJ - 085204804 |
Business Phone Number: | 6094266818 |
Business Fax Number: | |
Mailing Address: | 300 Meadow Lks, HIGHTSTOWN |
State: | NJ |
Postal Code: | 085204804 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS0065900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |