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NPI Code Detail

MEDICARE: KELSEY SPEECH THERAPY, INC.

MEDICARE: KELSEY SPEECH THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1144881731
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELSEY SPEECH THERAPY, INC.
Provider Business Mailing Address
First Line : 3043 PUTNAM BLVD
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-4627
Country : US
Telephone Number : 925-322-1379
Fax Number :
Provider Business Practice Location Address
First Line : 3043 PUTNAM BLVD
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-4627
Country : US
Telephone Number : 925-322-1379
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KELSEY HAMMON
Credential : M.A., CCC-SLP
Telephone Number : 925-322-1379
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

Similar Medicare Providers

1063072510 — KELSEY HAMMON M.A., CCC-SLP
Practice Location Address:
3043 PUTNAM BLVD
PLEASANT HILL, CA
94523-4627
Practice Phone: 925-322-1379
Practice Fax:
1235910746 — PLEASANT HILL VILLA HOME CARE
Practice Location Address:
3021 PUTNAM BLVD
PLEASANT HILL, CA
94523-4627
Practice Phone: 408-933-8663
Practice Fax:
1245779479 — DR. MARY ELIZABETH ROBERTS D.D.S.
Practice Location Address:
8 LAUREL HILL DR
RANDOLPH, NJ
07869-4627
Practice Phone: 973-895-5476
Practice Fax:
1598141764 — JONATHAN LOWERY LCSW-A, MSW, BSW
Practice Location Address:
3229 PLEASANT GARDEN RD APT 1E
GREENSBORO, NC
27406-4627
Practice Phone: 252-258-7712
Practice Fax:
1376307603 — PAIGE LORENZ LCSW
Practice Location Address:
820 PLEASANT ST
NORWOOD, MA
02062-4627
Practice Phone: 774-219-3036
Practice Fax:
1245112119 — AQUARIUS MIDWIFERY
Practice Location Address:
200 GREGORY LN STE B-106
PLEASANT HILL, CA
94523-3353
Practice Phone: 925-403-1475
Practice Fax:

Directions to “KELSEY SPEECH THERAPY, INC. ” Practice Location

Language Start Address Practice Location
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