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Kellie Revak

NPI 1932237765 · on the registry since 2007 · sole proprietor

Practice

Address: 6729 Fieldcrest Dr
Delmont, PA 15626
Phone: (724) 216-5157
Fax: (724) 325-1215
Organisation at this address: Tammy Manns
Children'S Therapy Group Of Western Pennsylvania
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Speech-Language Pathologist
235Z00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania