Individual
KELSEY GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
12327 STATE HIGHWAY 618, CONNEAUT LAKE, PA 16316-3839
(724) 456-6932
Mailing address
12327 STATE HIGHWAY 618, CONNEAUT LAKE, PA 16316-3839
(724) 456-6932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015572
PA
235Z00000X
Speech-Language Pathologist
—
MD
Other
Enumeration date
12/06/2018
Last updated
03/09/2022
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