Individual
MISS KEELAN KATE FERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
8904 TURTON DR, PHILADELPHIA, PA 19115-4504
(215) 514-0601
Mailing address
8904 TURTON DR, PHILADELPHIA, PA 19115-4504
(215) 514-0601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011523
PA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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