Individual
MRS. KELLY ELIZABETH TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Mailing address
3950 E BUTLER AVE, FLAGSTAFF, AZ 86004-7852
(928) 527-5519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5141
AZ
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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