Individual
KELLY LYNN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
700 DICKINSON RD, CHESTERTON, IN 46304-3540
(219) 983-1300
Mailing address
3401 BLUE GROUSE ST, VALPARAISO, IN 46383-7077
(219) 508-6478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004094A
IN
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/16/2017
Last updated
11/22/2022
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