Individual
KAYLEE A PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10917 HIGHWAY 92 STE 130140, WOODSTOCK, GA 30188-6329
(678) 447-1617
Mailing address
334 MELROSE CIR, WOODSTOCK, GA 30188-6905
(714) 287-8917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013183
GA
235Z00000X
Speech-Language Pathologist
37387
CA
Other
Enumeration date
02/06/2018
Last updated
12/10/2024
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