Individual
LINDA H KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC
Contact information
Practice address
61382 JACK WILLIAMS RD, BOGALUSA, LA 70427-8046
(985) 732-4664
(985) 732-9346
Mailing address
61382 JACK WILLIAMS RD, BOGALUSA, LA 70427-8046
(985) 732-4664
(985) 732-9346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105130
TX
235Z00000X
Speech-Language Pathologist
10583
FL
235Z00000X
Speech-Language Pathologist
3267
LA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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