Individual
MRS. KELLY MCGRATH STOCKSTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
474 TARRANT RD, GARDENDALE, AL 35071-2947
(769) 203-0920
(205) 423-5005
Mailing address
1053 53RD ST S, BIRMINGHAM, AL 35222-4005
(769) 203-0920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3902
AL
Other
Enumeration date
04/13/2014
Last updated
12/19/2018
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