Individual
KELLY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
188 EVERGREEN RD, LAKE WYLIE, SC 29710-9001
(407) 690-2056
Mailing address
188 EVERGREEN RD, LAKE WYLIE, SC 29710-9001
(407) 690-2056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5367
SC
235Z00000X
Speech-Language Pathologist
SA 9884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001155200
—
FL
Enumeration date
02/26/2010
Last updated
02/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us