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Organization
SPROUT SPEECH PLLC
Active
Organization
SPROUT SPEECH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CHAN CCC-SLP (OWNER)
(718) 757-5687
Entity
Organization
Contact information
Practice address
6725 CLYDE ST, FOREST HILLS, NY 11375-4056
(718) 757-5687
Mailing address
6725 CLYDE ST APT 7B, FOREST HILLS, NY 11375-4013
(718) 757-5687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
06/23/2025
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