Mayo, Kelli A

Mayo, Kelli A is an individual health care provider with primary practice located at 6101 N State Line Ave , Texarkana TX 75503-5309. 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. Mayo, Kelli A can be contacted via phone (903) 791-2299.

Contact Information

Primary practice address
6101 N State Line Ave Texarkana TX 75503-5309
Phone: (903) 791-2299
Fax: (903) 793-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 100348 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1600 Arkansas

Profile Details

NPI number 1720191844
LBN Legal business name Mayo, Kelli A
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 28th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720191844 NPPES
Texas MEDICAID 1575342-01

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