Individual
KELSEY LEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
145 STEFFEE BLVD, SENECA, PA 16346-3035
(814) 677-1390
(814) 677-1393
Mailing address
145 STEFFEE BLVD, SENECA, PA 16346-3035
(814) 677-1390
(814) 677-1393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL014434
STATE LICENSE
PA
Enumeration date
10/03/2018
Last updated
04/10/2019
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