Individual
KELLY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 STEFFEE BLVD, SENECA, PA 16346-3039
(814) 677-1390
Mailing address
145 STEFFEE BLVD, SENECA, PA 16346-3039
(814) 677-1390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL001842
PA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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