Doctor Name: | MRS. KALEY VALLELONGA |
NPI Number: | 1588908479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 4024 |
Business Practice Address: | 2635 Scottsville Rd Bowling Green, KY - 421044410 |
Business Phone Number: | 2708421641 |
Business Fax Number: | |
Mailing Address: | 4576 Petros Rd, WOODBURN |
State: | KY |
Postal Code: | 421709753 |
Phone Number: | 2707992132 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |