Provider Demographics
NPI:1750565750
Name:CALFEE, KERRY ANN (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANN
Last Name:CALFEE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:ANN
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:277 FLEETS ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-9018
Mailing Address - Country:US
Mailing Address - Phone:901-291-4496
Mailing Address - Fax:
Practice Address - Street 1:277 FLEETS ISLAND DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-9018
Practice Address - Country:US
Practice Address - Phone:901-291-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003598235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist