Individual
COURTNEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED CCC-SLP
Contact information
Practice address
5835 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2601
(757) 668-6035
Mailing address
5835 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008208
VA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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