Individual
MS. ANEISHA LICHELLE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 PINEMONT DR STE 200, HOUSTON, TX 77092-3131
(832) 209-7830
Mailing address
2411 FONDREN RD APT 1326, HOUSTON, TX 77063-2341
(803) 414-4264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115280
TX
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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