Individual
KELLI LYNN GRANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
3041 W HORIZON RIDGE PKWY, SUITE 150, HENDERSON, NV 89052-3948
(702) 235-3354
(702) 920-8062
Mailing address
7461 COYOTE CAVE AVE, LAS VEGAS, NV 89113-3294
(702) 235-3354
(702) 920-8062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1063
NV
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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