Provider Demographics
NPI:1366826422
Name:MCNAMEE, KELLY (MS)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:MCNAMEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OTIS PL
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2706
Mailing Address - Country:US
Mailing Address - Phone:978-387-9721
Mailing Address - Fax:
Practice Address - Street 1:9 OTIS PL
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2706
Practice Address - Country:US
Practice Address - Phone:978-387-9721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8843235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist