Kelcy Bonham, M.S., CCC- SLP, CLC
NPI #1841943958 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1841943958
- Entity Type
- Individual
- Name
- Kelcy Bonham, M.S., CCC- SLP, CLC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC- SLP, CLC
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Mar 31, 2023
Practice Location
- Address
- 1530 BROOKVALLEY CIR
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-9213
- Phone
- (615) 477-6363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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