Individual
KYLIE ATTEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
723 E MAIN ST, BRADFORD, PA 16701-3242
(814) 362-4621
Mailing address
723 E MAIN ST, BRADFORD, PA 16701-3242
(814) 362-4621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL012125
PROFESSIONAL LICENSE SPEECH LANGUAGE PATHOLOGIST
PA
Enumeration date
09/19/2014
Last updated
09/19/2014
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