Individual
MRS. KELLY JEAN VANHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2092 BROOKSTONE DR, MOUNT JULIET, TN 37122-3279
(615) 477-3561
Mailing address
2092 BROOKSTONE DR, MOUNT JULIET, TN 37122-3279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003473
TN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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