Individual
KELLIE MICHELLE HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7265 KENWOOD RD STE 363, CINCINNATI, OH 45236-4411
(513) 635-8620
Mailing address
3636 BELLECREST AVE, CINCINNATI, OH 45208-1711
(937) 671-3934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9147
OH
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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