Kelly, Mallory Jane

Kelly, Mallory Jane is an sole proprietor health care provider with primary practice located at 2575 Airline Dr , Bossier City LA 71111-5812. 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. Kelly, Mallory Jane can be contacted via phone (318) 746-7466.

Contact Information

Primary practice address
2575 Airline Dr Bossier City LA 71111-5812
Phone: (318) 746-7466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7108 Louisiana

Profile Details

NPI number 1659786267
LBN Legal business name Kelly, Mallory Jane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2014
Last updated Jun 23rd, 2014 - about 12 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.

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