Individual
BROOKE ELIZABETH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
6167 W QUAKER ST, ORCHARD PARK, NY 14127-2640
(716) 662-4800
(716) 662-5700
Mailing address
141 HAMLIN AVE, EAST AURORA, NY 14052-1606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028839
NY
235Z00000X
Speech-Language Pathologist
10434587-4102
UT
Other
Enumeration date
06/17/2019
Last updated
11/08/2021
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