Individual
MISS KELLYE LYNNE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
820 PEARL AVE, MORTON, PA 19070-1243
(484) 557-5615
Mailing address
820 PEARL AVE, MORTON, PA 19070-1243
(484) 557-5615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012691
PA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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