Individual
SHATIKA NICOLE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5814 QUIET PINE CIR, APT 202, CHESTER, VA 23831-7883
(757) 383-5226
Mailing address
5814 QUIET PINE CIR, APT 202, CHESTER, VA 23831-7883
(757) 383-5226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005966
VA
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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