| Doctor Name: | MRS. KELLY JEAN PLEASANT |
| NPI Number: | 1982750832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | SA 6371 |
| Business Practice Address: | 3817 E State Road 64 Bradenton, FL - 342089041 |
| Business Phone Number: | 9417455111 |
| Business Fax Number: | 9417455667 |
| Mailing Address: | 7646 Partridge Street Cir, BRADENTON |
| State: | FL |
| Postal Code: | 342024028 |
| Phone Number: | 9419625889 |
| Fax Number: | 9417455667 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 6371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |