Individual
MS. ELIZABETH FLETCHER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
142 TAMALPAIS RD, FAIRFAX, CA 94930-1501
(415) 309-9218
Mailing address
142 TAMALPAIS RD, FAIRFAX, CA 94930-1501
(415) 309-9218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12541
CA
Other
Enumeration date
04/26/2010
Last updated
03/25/2016
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