Individual
KELSEY MARIE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4603 JOHN GARRY DR STE 10, COLUMBIA, MO 65203-6834
(573) 777-8783
Mailing address
1702 LINDEN WAY, KING OF PRUSSIA, PA 19406-3238
(267) 981-3418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2017033847
MO
235Z00000X
Speech-Language Pathologist
Primary
SL015284
PA
Other
Enumeration date
09/20/2017
Last updated
08/13/2020
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