Individual
AMY ALISSA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 E EVESHAM RD, VOORHEES, NJ 08043-9547
(856) 751-1600
Mailing address
1021 HUDSON AVE, DEPTFORD, NJ 08096-3046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00586500
NJ
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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