Mary Lucy Kellogg, CCC-SLP
Speech-Language Pathologist, in Loveland, CO. Individual provider (NPI-1).
NPI number1124474424
StatusActive
Last updated in NPPESMay 5, 2016
Details
- NPI
- 1124474424
- Entity type
- Individual (NPI-1)
- Name
- Mary Lucy Kellogg
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2016
- Last updated
- May 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP.0001925 | CO | Yes |
Practice location
490 Mirasol DrLoveland, CO 80537-2339
Phone 970-342-2400
Mailing address
490 Mirasol DrLoveland, CO 80537-2339
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All 74 Speech-Language Pathologist providers in Loveland · All 3,018 providers in Loveland
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