Individual
DR. KELLY BRADBERRY GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, M.ED., CCC-SLP
Contact information
Practice address
215 HAWTHORNE PARK STE B, ATHENS, GA 30606-2164
(706) 310-9241
(706) 310-9276
Mailing address
66 GLENN CT, HULL, GA 30646-4294
(706) 621-2272
(706) 546-0303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005917
GA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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