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Kelly Rae Stapp

Specialist/Technologist, Speech-Language Assistant in Pacoima, CA. Individual provider (NPI-1).

NPI number1710691175
StatusActive
Last updated in NPPESJan 10, 2023

Details

NPI
1710691175
Entity type
Individual (NPI-1)
Name
Kelly Rae Stapp
Sex
Female
Sole proprietor
No
Enumeration date
Jan 10, 2023
Certification date
Jan 10, 2023
Last updated
Jan 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language Assistant–CAYes

Practice location

13066 Van Nuys Blvd
Pacoima, CA 91331-2576

Phone 818-206-3353

Mailing address

17216 Saticoy St
Van Nuys, CA 91406-2103

Phone 916-761-5113

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Other Speech-Language Assistant providers in Pacoima, CA

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