Active NPIIndividual providerSole proprietor

Amy Kelly, MS, CCC-SLP

Speech-Language Pathologist, in Audubon, New Jersey

NPI Number1508349226
Practice location
509 Wyoming Ave, Audubon, NJ 08106-1631
Fax
—
Last updated
September 9, 2018

Amy Kelly is a Speech-Language Pathologist, based in Audubon, NJ. Amy Kelly practices in Audubon, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Amy Kelly is 1508349226 and holds a License No. 12018440 (NJ). The current practice location address for Amy Kelly is 509 Wyoming Ave, Audubon, NJ 08106-1631 and can be reached out via phone at 856-905-0812.

Provider Profile Details

NPI Number
1508349226
Provider Name
Amy Kelly
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
509 Wyoming Ave, Audubon, NJ 08106-1631
Phone Number
856-905-0812
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2018
Last Update Date
September 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 Wyoming Ave
Audubon, NJ 08106-1631
Zip
08106-1631
Phone Number
856-905-0812
Audubon, NJ 08106Get directions →

Provider Business Mailing Address Details

Address
509 Wyoming Ave
Audubon, NJ 08106-1631
City
Audubon
State
NJ
Zip
08106-1631
Phone Number
856-905-0812

License Information

License Number
12018440
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Kelly, MS, CCC-SLP?

The NPI number of Amy Kelly, MS, CCC-SLP is 1508349226. It was assigned on September 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Amy Kelly, MS, CCC-SLP?

Amy Kelly, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 12018440.

Where does Amy Kelly, MS, CCC-SLP practice?

The practice location is 509 Wyoming Ave, Audubon, NJ 08106-1631. The office can be reached at 856-905-0812 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508349226 directly on the NPPES registry website.

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