Kellie L Bauer M.ED.

NPI 1104013150 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104013150
Gender Female
Enumeration Date 10/03/2007
Last Updated 10/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
593 ADERHOLD HALL
UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC
ATHENS GA, 30602, US
Phone (706) 542-4598
Fax
Business Location
593 ADERHOLD HALL
UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC
ATHENS GA, 30602, US
Phone (706) 542-6157
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number SLP006674
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According to our database, Mrs. Kellie L Bauer M.ED. NPI is 1104013150, taxonomy code is 235Z00000X and license number is SLP006674, license state is located at Georgia. Kellie L Bauer M.ED. physically located at 593 Aderhold Hall, Athens GA, 30602. NPI Number Kellie L Bauer M.ED. has the Individual type.

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1104013150 NPI number is provided on an as is basis without warranty of any kind. 1104013150 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie L Bauer M.ED. are for informational purposes only.