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Contact Information

KELLEY HENRY, MS CCC-SLP
2120 WEST WASHINGTON STREET
SPRINGFIELD, IL62702
 Phone: 217-793-4880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELLEY HENRY · (Female)

NPI # 1659827236
Status Active
Credentials MS CCC-SLP
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 146008433
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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