National Provider Identifier
Michelle Marie Kelley, MA, CCC-SLP
Michelle Marie Kelley, MA, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Depew, NY and a listed phone number of (716) 901-8700.
Profile Overview
- NPI
- 1982925608
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 16, 2010
- Last Updated
- October 09, 2017
Practice Location
- 2049 George Urban Blvd
- Depew, NY 14043-1823
Phone: (716) 901-8700
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1982925608
- Entity Type
- Individual
- Last Name
- Kelley
- First Name
- Michelle
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MA, CCC-SLP
- Provider Other Last Name
- Sevilla
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2049 George Urban Blvd
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1823
- Mailing Country
- US
- Mailing Phone
- (716) 901-8700
- Practice Street Address
- 2049 George Urban Blvd
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1823
- Practice Country
- US
- Practice Phone
- (716) 901-8700
- Enumeration Date
- June 16, 2010
- Last Updated
- October 09, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)