MRS. Kelly A Fountaine, M.S., CCC-SLP
NPI #1609029784 in Gansevoort, New York
Provider Information
- NPI Number
- 1609029784
- Entity Type
- Individual
- Name
- MRS. Kelly A Fountaine, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Nov 3, 2008
- Last Updated
- Nov 7, 2011
Practice Location
- Address
- 300 BALLARD RD
- City
- Gansevoort
- State
- New York
- ZIP Code
- 12831-1336
- Phone
- (518) 587-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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