Individual
MRS. TIFFANY SUE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
200 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1014
(317) 462-3311
(317) 467-1591
Mailing address
200 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004122A
IN
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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