Individual
KAYLEE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2574 HOGBACK HILL, MINERAL SPRINGS, PA 16855-0049
(814) 762-4426
Mailing address
PO BOX 49, MINERAL SPRINGS, PA 16855-0049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016361
PA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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