MRS. Kelly Ann Fagan, CCC-SLP
NPI #1659516623 in Greenville, New York
Provider Information
- NPI Number
- 1659516623
- Entity Type
- Individual
- Name
- MRS. Kelly Ann Fagan, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Dec 4, 2008
- Last Updated
- Dec 4, 2008
Practice Location
- Address
- 2352 COUNTY ROUTE 41
- City
- Greenville
- State
- New York
- ZIP Code
- 12083-4626
- Phone
- (518) 966-5447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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