| Doctor Name: | KELLY T. MORALLE |
| NPI Number: | 1558556365 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SA9859 |
| Business Practice Address: | 2762 Dora Ave Tavares, FL - 327784970 |
| Business Phone Number: | 3527427837 |
| Business Fax Number: | 3525085113 |
| Mailing Address: | 3365 Oak Brook Ln, EUSTIS |
| State: | FL |
| Postal Code: | 327362267 |
| Phone Number: | 3524095452 |
| Fax Number: | 3524830473 |
| NPI Enumeration Date: | 09/14/2007 |
| NPI Last Update Date: | 09/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA9859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |