Individual
MRS. KELLY ANN GOWNLEY MCCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
105 LAKEVIEW DR, MOUNTAIN TOP, PA 18707-9212
(570) 868-7455
Mailing address
105 LAKEVIEW DR, MOUNTAIN TOP, PA 18707-9212
(570) 868-7455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003242L
PA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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