Provider Demographics
NPI:1437571502
Name:OLAF, KELLY H (MS TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:H
Last Name:OLAF
Suffix:
Gender:F
Credentials:MS TSSLD
Other - Prefix:MISS
Other - First Name:KELLY
Other - Middle Name:H
Other - Last Name:CHAMELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 CHATEAU TERR.
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-839-1655
Mailing Address - Fax:716-839-1656
Practice Address - Street 1:25 CHATEAU TERR.
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-839-1655
Practice Address - Fax:716-839-1656
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist