Individual
MS. KELLIN MOULDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2100 MASSACHUSETTS AVE NW, WASHINGTON, DC 20008-2807
(855) 428-8246
(855) 428-8246
Mailing address
5007 7TH PL NW, WASHINGTON, DC 20011-4019
(336) 416-3424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4608
SC
235Z00000X
Speech-Language Pathologist
Primary
SLP200001712
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP200001712
SLP LICENSE
DC
Enumeration date
02/02/2010
Last updated
03/07/2025
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