Individual
KELLEY A SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11 NEWBURG AVE, CATONSVILLE, MD 21228-5108
(410) 598-0703
Mailing address
404 LOCUST DR, CATONSVILLE, MD 21228-5132
(410) 598-0703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04070
MD
Other
Enumeration date
04/03/2007
Last updated
08/14/2011
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