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Individual
TANYA A KELLER
Active
Individual
TANYA A KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP ED.S
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6650
MA
235Z00000X
Speech-Language Pathologist
Primary
SP27018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0175
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/16/2007
Last updated
06/08/2023
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