Individual
KELLY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 PORTMAN LN, BRIDGEVILLE, PA 15017-3427
(412) 221-1401
Mailing address
253 PORTMAN LN, BRIDGEVILLE, PA 15017-3427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009924
PA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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