Individual
KELLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9609 CYPRESS WAY, CARMEL, IN 46032-9287
(765) 748-8774
Mailing address
9609 CYPRESS WAY, CARMEL, IN 46032-9287
(765) 748-8774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004684A
IN
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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