Individual
MRS. KELLY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
ARIZONA STATE UNIVERSITY SPEECH AND HEARING, 975 S. MYRTLE LATTIE COOR HALL 2324, TEMPE, AZ 85287-0102
(480) 965-5830
Mailing address
11847 N 68TH ST, SCOTTSDALE, AZ 85254-5152
(480) 609-1673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0026
AZ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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