Individual
KELLY HARTSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1300 NE NORTON AVE, BEND, OR 97701-4462
(541) 355-1822
Mailing address
1300 NE NORTON AVE, BEND, OR 97701-4462
(541) 788-8243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12587
OR
Other
Enumeration date
02/17/2016
Last updated
04/24/2024
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