Individual
KELLI WEATHERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
5304 PROVIDENCE RD STE 80, VIRGINIA BEACH, VA 23464-4102
(757) 467-4604
Mailing address
4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455-6423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008565
VA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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