Individual
KELLY RENEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8540 VERREE RD, PHILADELPHIA, PA 19111-1325
(215) 342-7660
Mailing address
12 THOMAS PL, LEVITTOWN, PA 19057-3820
(267) 702-7201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
PA
Other
Enumeration date
08/22/2019
Last updated
01/15/2021
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