Individual
KELLIE CLITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
685 ANGELA DR, GREENSBURG, PA 15601-2655
(724) 837-6070
Mailing address
685 ANGELA DR, GREENSBURG, PA 15601-2655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2013008763
MO
235Z00000X
Speech-Language Pathologist
Primary
SL014796
PA
Other
Enumeration date
03/29/2013
Last updated
05/05/2020
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