Individual
KELLSY ANN TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11742 N COUNTY ROAD 100 E, BRAZIL, IN 47834-7057
(812) 605-1828
Mailing address
11742 N COUNTY ROAD 100 E, BRAZIL, IN 47834-7057
(812) 605-1828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005752A
IN
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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