Kelly Ann Fairris MA CCC SLP

NPI 1104884378 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104884378
Gender Female
Enumeration Date 05/03/2006
Last Updated 10/26/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1473 LAKEWOOD LN
SCHERERVILLE IN, 46375-1093, US
Phone (219) 805-8854
Fax
Business Location
PO BOX 505
SCHERERVILLE IN, 46375-0505, US
Phone (219) 805-8854
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146.009464
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According to our database, Mrs. Kelly Ann Fairris MA CCC SLP NPI is 1104884378, taxonomy code is 235Z00000X and license number is 146.009464, license state is located at Illinois. Kelly Ann Fairris MA CCC SLP physically located at 1473 Lakewood Ln, Schererville IN, 46375-1093. NPI Number Kelly Ann Fairris MA CCC SLP has the Individual type.

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1104884378 NPI number is provided on an as is basis without warranty of any kind. 1104884378 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Fairris MA CCC SLP are for informational purposes only.