MRS. Kelly D Pettis, M.A.CCC, SLP,L
NPI #1447463286 in W Springfield, Pennsylvania
Provider Information
- NPI Number
- 1447463286
- Entity Type
- Individual
- Name
- MRS. Kelly D Pettis, M.A.CCC, SLP,L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A.CCC, SLP,L
- Enumeration Date
- May 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14639 RIDGE RD
- City
- W Springfield
- State
- Pennsylvania
- ZIP Code
- 16443-1631
- Phone
- (814) 922-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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