Individual
MS. KELLY MCKENNA MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
345 E JUNIPER ST, MESA, AZ 85201-1825
(602) 406-5032
Mailing address
345 E JUNIPER ST, MESA, AZ 85201-1825
(602) 406-5032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1590
AZ
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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