Doctor Name: | KELSEY PURTELL |
NPI Number: | 1598130429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | COND 2016014 |
Business Practice Address: | 927 South St Unit A Pataskala, OH - 430626014 |
Business Phone Number: | 7409273941 |
Business Fax Number: | |
Mailing Address: | 927 South St Unit A, PATASKALA |
State: | OH |
Postal Code: | 430626014 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/03/2015 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND 2016014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |