Individual
LEEANN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
29 PROVIDENCE AVE, BERLIN, NH 03570-3130
(603) 752-1420
Mailing address
29 PROVIDENCE AVE, BERLIN, NH 03570-3130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1642
NH
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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