Provider Demographics
NPI:1891128278
Name:NEPHEW, KALEY ANN (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KALEY
Middle Name:ANN
Last Name:NEPHEW
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:ANN
Other - Last Name:PASSNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:596 SHELDON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-8011
Mailing Address - Country:US
Mailing Address - Phone:802-524-6534
Mailing Address - Fax:802-524-2429
Practice Address - Street 1:596 SHELDON RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-8011
Practice Address - Country:US
Practice Address - Phone:802-524-6534
Practice Address - Fax:802-524-2429
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3326235Z00000X
NY021854235Z00000X
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist