| Doctor Name: | KELLY BENSON VOGT |
| NPI Number: | 1851420806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 2202004338 |
| Business Practice Address: | 704 S King St Suite #1 Leesburg, VA - 201753929 |
| Business Phone Number: | 7037712200 |
| Business Fax Number: | 7037717080 |
| Mailing Address: | 340 Spruce Hill Way, CHARLES TOWN |
| State: | WV |
| Postal Code: | 254145949 |
| Phone Number: | 3047280095 |
| Fax Number: | 3047280095 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 06/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |