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NPI Code Detail

MEDICARE: KELLYANN B. CALLAHAN MA CCC-SLP

MEDICARE: KELLYANN B. CALLAHAN MA 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 PathologistSP5391OH

General Provider Information

NPI Number : 1841313939
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLYANN B. CALLAHAN MA CCC-SLP
Provider Business Mailing Address
First Line : 101 AVONDALE DR
Second Line :
City : AKRON
State : OH
Zip : 44313-7749
Country : US
Telephone Number : 330-835-1728
Fax Number : 330-835-1728
Provider Business Practice Location Address
First Line : 155 HERITAGE WOODS DR
Second Line :
City : COPLEY
State : OH
Zip : 44321-1398
Country : US
Telephone Number : 330-666-0980
Fax Number : 330-666-5585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ KELLYANN B. CALLAHAN MA CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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