MRS. Kelly Suzanne Theis, M.S. SLP
NPI #1851661433 in Cornwall On Hudson, New York
Provider Information
- NPI Number
- 1851661433
- Entity Type
- Individual
- Name
- MRS. Kelly Suzanne Theis, M.S. SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Credential
- M.S. SLP
- Enumeration Date
- Jan 12, 2012
- Last Updated
- Jan 12, 2012
Practice Location
- Address
- 24 IDLEWILD AVE
- State
- New York
- ZIP Code
- 12520-1134
- Phone
- (845) 534-8009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Local Education Agency (LEA) |
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