Individual provider · Type 1 NPI

Kelly Ly

Speech-Language Assistant · Stockton, CA

NPI number 1073885745 Active

Practice location

328 Northbank Ct Apt 37
Stockton, CA 95207-7611

Call (209) 323-8655 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSPA 727 (CA)

Speech-Language Assistant: Definition to come...

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About NPI 1073885745

Kelly Ly's National Provider Identifier is 1073885745, issued on Jan 27, 2012. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Stockton, CA. The record was last updated on Jan 27, 2012.