Doctor Name: | KELLY ABRAHAM |
NPI Number: | 1831346428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2698 |
Business Practice Address: | 8703 Highway 17 Byp S Ste 1 Myrtle Beach, SC - 295757701 |
Business Phone Number: | 8434571053 |
Business Fax Number: | 8432152910 |
Mailing Address: | 8703 Highway 17 Byp S Ste 1, MYRTLE BEACH |
State: | SC |
Postal Code: | 295757701 |
Phone Number: | 8434571053 |
Fax Number: | 8432152910 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |