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Kelly Ly
Speech-Language Assistant in Stockton, California
NPI 1073885745

Kelly Ly is a Speech-Language Assistant based in Stockton, CA and is specialized in Speech-Language Assistant. Kelly Ly practices in Stockton, CA. The NPI Number for Kelly Ly is 1073885745 and holds a License No. SPA 727 (California).

The current practice location address for Kelly Ly is 328 Northbank Ct Apt 37, Stockton, CA and can be reached out via phone at 209-323-8655.

Location: 328 Northbank Ct Apt 37, Stockton, CA, 95207-7611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073885745
Provider Name
Kelly Ly
Credential
Provider Entity Type
Individual
Gender
Female
Address
328 Northbank Ct Apt 37, Stockton, CA, 95207-7611
Phone Number
209-323-8655
Fax Number
Provider Enumeration Date
01/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
328 Northbank Ct Apt 37
City
Stockton
State
California
Zip
95207-7611
Phone Number
209-323-8655
Fax Number
person
Provider Business Mailing Address Details
Address
328 Northbank Ct Apt 37
City
Stockton
State
California
Zip
95207-7611
Phone Number
209-323-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SPA 727 (California)
Definition
Definition to come...
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