Individual
AMY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
509 WYOMING AVE, AUDUBON, NJ 08106-1631
(856) 905-0812
Mailing address
509 WYOMING AVE, AUDUBON, NJ 08106-1631
(856) 905-0812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12018440
NJ
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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