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NPI Code Detail

MEDICARE: MS. MAURA KELLEY CCC-SLP

MEDICARE: MS. MAURA KELLEY CCC-SLP
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 PathologistSL013563PA

General Provider Information

NPI Number : 1215483904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAURA KELLEY CCC-SLP
Provider Business Mailing Address
First Line : 1851 MEADOWBROOK RD
Second Line :
City : ABINGTON
State : PA
Zip : 19001-2015
Country : US
Telephone Number : 610-762-5837
Fax Number :
Provider Business Practice Location Address
First Line : 1245 CHURCH RD
Second Line :
City : WYNCOTE
State : PA
Zip : 19095-1800
Country : US
Telephone Number : 215-884-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 01/27/2026

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