| Doctor Name: | MRS. KELLY GRAHAM ZULUAGA |
| NPI Number: | 1710381074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP/L |
| License Number: | SL010423 |
| Business Practice Address: | 4674 Berwyn Lane Macungie, PA - 18062 |
| Business Phone Number: | 6109094051 |
| Business Fax Number: | 6104659692 |
| Mailing Address: | 5961 Saratoga Lane, COOPERSBURG |
| State: | PA |
| Postal Code: | 18036 |
| Phone Number: | 9087632735 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL010423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |