Individual
MRS. EUGENIA VASILAKOS KELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
22253 N 102ND LN, PEORIA, AZ 85383-2656
(480) 335-4261
Mailing address
22253 N 102ND LN, PEORIA, AZ 85383-2656
(480) 335-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA8948
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP5829
AZ
235Z00000X
Speech-Language Pathologist
SP15208
CA
Other
Enumeration date
07/28/2008
Last updated
05/21/2010
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