Provider Demographics
NPI:1750945937
Name:SANTIAGO, KELCI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KELCI
Middle Name:
Last Name:SANTIAGO
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 1:306 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1652
Mailing Address - Country:US
Mailing Address - Phone:484-362-1370
Mailing Address - Fax:888-425-0442
Practice Address - Street 1:306 S NEW ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1652
Practice Address - Country:US
Practice Address - Phone:484-362-1370
Practice Address - Fax:888-425-0442
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist