Individual
KELLY BENTON TYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4020 HENDERSONVILLE RD STE B, FLETCHER, NC 28732-8251
(828) 687-8428
Mailing address
560 MAPLE ST, BREVARD, NC 28712-3881
(828) 884-3364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4217
NC
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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