Doctor Name: | ASHLEY KELLY |
NPI Number: | 1760711972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S |
License Number: | 4501 |
Business Practice Address: | 6864 Susquehanna Trl S York, PA - 174039320 |
Business Phone Number: | 7174280150 |
Business Fax Number: | |
Mailing Address: | 729 Lake Redman Ct, SEVEN VALLEYS |
State: | PA |
Postal Code: | 173609190 |
Phone Number: | 7174244189 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |