Provider Demographics
NPI:1356625776
Name:ALAMENO, KELLY E (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:E
Last Name:ALAMENO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 CRESSWELL DR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3925
Mailing Address - Country:US
Mailing Address - Phone:610-630-4959
Mailing Address - Fax:
Practice Address - Street 1:2612 CRESSWELL DR
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3925
Practice Address - Country:US
Practice Address - Phone:610-630-4959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004122L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist