Individual
MRS. LINDSAY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5000
Mailing address
800 IVY WAY APT 2A, FREDERICK, MD 21701-9414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5416281P0002
—
MD
Enumeration date
09/09/2020
Last updated
11/17/2022
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