Individual
ALLISON KELLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1101 STANDIFORD AVE STE A2, MODESTO, CA 95350-0981
(209) 480-4492
Mailing address
3008 GAVEN CT, MODESTO, CA 95355-7914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23127
CA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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