Individual
DR. KELLI UITENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINSCID, CCC-SLP
Contact information
Practice address
4044 QUEENSBRIDGE RD STE A, CHARLOTTE, NC 28213-4895
(828) 548-3155
Mailing address
TELEMEDICINE SERVICES, 4044 QUEENSBRIDGE RD, CHARLOTTE, NC 28213-4895
(828) 548-3155
(704) 285-2420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11412
NC
235Z00000X
Speech-Language Pathologist
22006140A
IN
235Z00000X
Speech-Language Pathologist
2202008045
VA
235Z00000X
Speech-Language Pathologist
26731
CA
235Z00000X
Speech-Language Pathologist
77850
MA
235Z00000X
Speech-Language Pathologist
SLP009134
GA
235Z00000X
Speech-Language Pathologist
TPSA39
FL
Other
Enumeration date
11/04/2014
Last updated
11/20/2020
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