Individual
MS. ANDREA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,CCC-SLP
Contact information
Practice address
10917 N DALE MABRY HWY, TAMPA, FL 33618-4112
(813) 962-6766
Mailing address
4301 W GRANADA ST, TAMPA, FL 33629-6618
(813) 787-1831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8421
FL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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