Individual
KELLY LEAH VANLANDINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 502-7726
Mailing address
2040 E HEARTWOOD LN, PHOENIX, AZ 85022-2986
(602) 615-1986
(480) 704-5807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP4253
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP8115
AZ
Other
Enumeration date
10/18/2007
Last updated
08/26/2021
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