Edelbrock, Kelley Marie

Edelbrock, Kelley Marie is an sole proprietor health care provider with primary practice located at 14700 Horseshoe Bend Ct , Granger IN 46530-8269. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Edelbrock, Kelley Marie can be contacted via phone (574) 271-9079.

Contact Information

Primary practice address
14700 Horseshoe Bend Ct Granger IN 46530-8269
Phone: (574) 271-9079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001967A Indiana

Profile Details

NPI number 1801005830
LBN Legal business name Edelbrock, Kelley Marie
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801005830 NPPES
Indiana Other 200655050 FIRST STEPS-
Indiana Other 200718460 FIRST STEPS-

Popular Providers