Individual
KELLY HOUGH INGALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4 BUCCANEER CT, GREENSBORO, NC 27455-1191
(412) 215-4430
Mailing address
4 BUCCANEER CT, GREENSBORO, NC 27455-1191
(412) 215-4430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10792
NC
Other
Enumeration date
05/07/2014
Last updated
02/11/2016
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