Kelli Johanesen Valid NPI
Individual provider · Speech-Language Pathologist · Salem, OR
- NPI
- 1689459299
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 14051696 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
Practice location
2611 Pringle Rd Se
Salem, OR 97302-1533
(503) 588-5330