Individual
KELLIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4600 E SHEA BLVD, #101, PHOENIX, AZ 85028-6024
(602) 368-8601
Mailing address
3138 N 17TH DR, PHOENIX, AZ 85015-5807
(913) 269-8858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2993
KS
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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