Kelly Blackwell, MA, CCC-SLP

NPI #1801142765 in Augusta, Maine

Provider Information

NPI Number
1801142765
Entity Type
Individual
Name
Kelly Blackwell, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Jul 30, 2012
Last Updated
Jan 3, 2022

Practice Location

Address
126 WESTERN AVE # 123
State
Maine
ZIP Code
04330-7249
Phone
(207) 830-1380

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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