Individual
KELLY CRISCITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
6134 CHISOLM RD, JOHNS ISLAND, SC 29455-7657
(843) 559-6412
Mailing address
1184 OAKCREST DR, CHARLESTON, SC 29412-9327
(843) 937-6300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9367
SC
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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