Provider Demographics
NPI:1497941868
Name:DELCAMP, KELLEY ANN (MS)
Entity Type:Individual
Prefix:
First Name:KELLEY
Middle Name:ANN
Last Name:DELCAMP
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 1:18100 N CATHERINE DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4403
Mailing Address - Country:US
Mailing Address - Phone:623-399-3229
Mailing Address - Fax:
Practice Address - Street 1:18100 N CATHERINE DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4403
Practice Address - Country:US
Practice Address - Phone:623-399-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4931235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist