Individual
KELLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 KENT ST, ANDREWS, NC 28901-8088
(828) 321-3075
Mailing address
532 ARDMORE AVE, PITMAN, NJ 08071-1760
(609) 790-0687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15579
NC
235Z00000X
Speech-Language Pathologist
41YS00977400
NJ
235Z00000X
Speech-Language Pathologist
SLP011954
GA
Other
Enumeration date
09/14/2022
Last updated
09/20/2022
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