Individual
KELLY ANNE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5954 LONGFORD RD, HUBER HEIGHTS, OH 45424-2998
(937) 237-6300
Mailing address
5954 LONGFORD RD, DAYTON, OH 45424-2998
(937) 237-6350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20191160-SP
OH
Other
Enumeration date
08/18/2019
Last updated
08/26/2021
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