Individual
DANIEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
226 GARDEN VIEW DR, THORNDALE, PA 19372-1156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008724
PA
Other
Enumeration date
07/10/2011
Last updated
07/10/2011
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