Kelly Quin Prejean, CCC-SLP
Speech-Language Pathologist, in Tallahassee, FL. Individual provider (NPI-1).
NPI number1477502011
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1477502011
- Entity type
- Individual (NPI-1)
- Name
- Kelly Quin Prejean
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2006
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA 8498 | FL | Yes |
| 222Q00000X | Developmental Therapist | SA8498 | FL |
Practice location
1725 Hermitage BlvdTallahassee, FL 32308-7709
Phone 850-325-6301
Mailing address
2306 Limerick DrTallahassee, FL 32309-3509
Phone 321-947-4389
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All 230 Speech-Language Pathologist providers in Tallahassee · All 8,729 providers in Tallahassee
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