Individual
KELLY C MARINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 655-1000
Mailing address
80 CHESTNUT ST APT 1C, CAMBRIDGE, MA 02139-4842
(610) 299-1302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101451
MA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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