Individual
KELCY BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC- SLP, CLC
Contact information
Practice address
1530 BROOKVALLEY CIR, MOUNT JULIET, TN 37122-9213
(615) 477-6363
Mailing address
1530 BROOKVALLEY CIR, MOUNT JULIET, TN 37122-9213
(615) 477-6363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14170424
TN
Other
Enumeration date
01/28/2022
Last updated
03/31/2023
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