Provider Demographics
NPI:1376668517
Name:SETZER, KELLY L (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:KELLY
Middle Name:L
Last Name:SETZER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MOUNT VERNON ST
Mailing Address - Street 2:APT. B
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3006
Mailing Address - Country:US
Mailing Address - Phone:201-600-2270
Mailing Address - Fax:
Practice Address - Street 1:195 DOVER POINT RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4612
Practice Address - Country:US
Practice Address - Phone:603-742-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist