NPI 1013255801

Kelley Kinard Mallard, MSPCCCSLP

Practitioner Speech-Language Pathologist Goose Creek, SC

Practice location

Address: 222 Red Bank Rd, Goose Creek, SC 29445-4502
Phone: (843) 628-2935
Mailing address: 1574 Carterett Ave, Charleston, SC 29407-4218

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4204 (SC)

Other Speech-Language Pathologist providers in South Carolina →

Registry record

NPI: 1013255801
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2013
Record last updated: 8 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.