| Doctor Name: | MRS. EUGENIA VASILAKOS KELLENBERGER |
| NPI Number: | 1871758946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC SLP |
| License Number: | SA8948 |
| Business Practice Address: | 22253 N 102nd Ln Peoria, AZ - 853832656 |
| Business Phone Number: | 4803354261 |
| Business Fax Number: | |
| Mailing Address: | 22253 N 102nd Ln, PEORIA |
| State: | AZ |
| Postal Code: | 853832656 |
| Phone Number: | 4803354261 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2008 |
| NPI Last Update Date: | 05/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA8948 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |