Provider Demographics
NPI:1235479056
Name:MALONEY, KELLY ERIN I (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ERIN
Last Name:MALONEY
Suffix:I
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5422 SUPERIOR DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6063
Mailing Address - Country:US
Mailing Address - Phone:225-302-5030
Mailing Address - Fax:225-372-2604
Practice Address - Street 1:5422 SUPERIOR DR
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6063
Practice Address - Country:US
Practice Address - Phone:225-302-5030
Practice Address - Fax:225-372-2604
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6789235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist