Individual
EMMA KELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15520 MARIETTA CIR, WESTFIELD, IN 46074-8875
(317) 408-1448
Mailing address
15520 MARIETTA CIR, WESTFIELD, IN 46074-8875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22009045A
IN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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