Doctor Name: | NANCY KELLY |
NPI Number: | 1588973507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 401996 |
Business Practice Address: | 228 Windham Center Rd Windham, ME - 040624862 |
Business Phone Number: | 2078921800 |
Business Fax Number: | |
Mailing Address: | 6 Half Moon Cv, WINDHAM |
State: | ME |
Postal Code: | 040625489 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 401996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |