Individual
KYLEE MARIE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1800 LOMBARD ST FL 1, PHILADELPHIA, PA 19146-1414
(215) 893-2500
(215) 893-2501
Mailing address
1800 LOMBARD ST FL 1, PHILADELPHIA, PA 19146-1414
(215) 893-2500
(215) 893-2501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015102
PA
Other
Enumeration date
08/02/2020
Last updated
01/29/2021
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