KELLY LY
NPI 1073885745
Specialist/Technologist - Speech-Language Assistant in Stockton, CA
Active since January 27, 2012
About Kelly Ly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LY (NPI 1073885745) is an individual speech-language assistant in Stockton, California, licensed in California (SPA 727) and active in the NPI registry since January 2012.
NPPES Registry Identity
NPI1073885745
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameKELLY LY
Location Address328 NORTHBANK CT APT 37Stockton, CA 95207-7611
Mailing Address328 Northbank Ct Apt 37Stockton, CA 95207-7611 · (209) 323-8655
Phone(209) 323-8655
Sole ProprietorNo
Enumeration DateJanuary 27, 2012
✔ NPI 1073885745 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in CA · SPA 727
328 NORTHBANK CT APT 37, Stockton, CA 95207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073885745, enumerated as an "individual" on January 27, 2012.
The provider is located at 328 NORTHBANK CT APT 37 STOCKTON, CA 95207 and the phone number is (209) 323-8655.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.
