Individual
MRS. ASHLEY NICOLE KALLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
1543 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-4599
Mailing address
1543 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-4599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0487
WV
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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