Individual
KELLY AMANDA BARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SLP-CCC
Contact information
Practice address
37 KENDALL DR, BLUFFTON, SC 29910-4125
(843) 540-2494
Mailing address
37 KENDALL DR, BLUFFTON, SC 29910-4125
(843) 540-2494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003178792A
—
GA
05
—
SA0774
—
SC
Enumeration date
08/16/2006
Last updated
03/08/2017
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