Individual
KYLEE RAE DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2026 STATE ROUTE 45, AUSTINBURG, OH 44010-9711
(440) 275-3019
Mailing address
351 JEFFERSON ST, MEADVILLE, PA 16335-1429
(814) 541-4848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14007
OH
390200000X
Student in an Organized Health Care Education/Training Program
COND.20191107-SP
OH
Other
Enumeration date
08/19/2019
Last updated
06/02/2021
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