Individual
KELLY L HITCHINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
589 LAUREL RUN ROAD, W DECATUR, PA 16878
(570) 592-4526
Mailing address
589 LAUREL RUN RD, WEST DECATUR, PA 16878-8521
(570) 592-4526
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
SL009218
PA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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