Individual
MISS KAYLEE DINELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8045 N 47TH AVE, GLENDALE, AZ 85302-6402
(860) 459-8571
Mailing address
8045 N 47TH AVE, GLENDALE, AZ 85302-6402
(860) 459-8571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
—
Enumeration date
06/04/2017
Last updated
07/26/2019
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