Individual
KELLI L REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
8223 E PORTOBELLO AVE, MESA, AZ 85212-1608
(602) 920-1373
Mailing address
8223 E PORTOBELLO AVE, MESA, AZ 85212-1608
(602) 920-1373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL2163
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771867
—
AZ
Enumeration date
02/06/2007
Last updated
02/09/2010
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