| Doctor Name: | MRS. KELLY MACNEILL-COONEY |
| NPI Number: | 1962661058 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | LL00002856 |
| Business Practice Address: | 16000 Bothell Everett Hwy Ste 220 Mill Creek, WA - 980121514 |
| Business Phone Number: | 4253570722 |
| Business Fax Number: | 3608161680 |
| Mailing Address: | 1660 Neale St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921033703 |
| Phone Number: | 2062004961 |
| Fax Number: | 3608161680 |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00002856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |