Individual
MISS KELLY PRITCHARD CLENDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
2141 E PECOS RD, CHANDLER, AZ 85225-6077
(480) 864-0607
(480) 841-6696
Mailing address
2141 E PECOS RD, CHANDLER, AZ 85225-6077
(480) 846-0607
(480) 841-6696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5644
AZ
235Z00000X
Speech-Language Pathologist
SZ4059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916829
—
FL
Enumeration date
01/18/2007
Last updated
09/18/2024
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