Individual
KELLY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
455 S ROBERTS RD, 455 S ROBERTS ROAD, BRYN MAWR, PA 19010-2131
(717) 856-3071
Mailing address
207 PARKER AVE, PHILADELPHIA, PA 19128-4440
(717) 856-3071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012561
PA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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