Individual
MRS. ANNE M. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Mailing address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014839-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014839-1
NY STATE LICENSURE
NY
Enumeration date
10/31/2008
Last updated
10/31/2008
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