National Provider Identifier
Brooke Elizabeth Kelley, M.A.CCC-SLP
Brooke Elizabeth Kelley, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Orchard Park, NY and a listed phone number of (716) 662-4800.
Profile Overview
- NPI
- 1376103861
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 17, 2019
- Last Updated
- November 08, 2021
Practice Location
- 6167 W Quaker St
- Orchard Park, NY 14127-2640
Phone: (716) 662-4800
Mailing Address
- 141 Hamlin Ave
- East Aurora, NY 14052-1606
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1376103861
- Entity Type
- Individual
- Last Name
- Kelley
- First Name
- Brooke
- Middle Name
- Elizabeth
- Credential
- M.A.CCC-SLP
- Provider Other Last Name
- Schutrum
- Provider Other First Name
- Brooke
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- M.A.CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 141 Hamlin Ave
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1606
- Mailing Country
- US
- Practice Street Address
- 6167 W Quaker St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2640
- Practice Country
- US
- Practice Phone
- (716) 662-4800
- Practice Fax
- (716) 662-5700
- Enumeration Date
- June 17, 2019
- Last Updated
- November 08, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)