Mrs Kelly D Pettis, MACCC, SLP,L - Speech-Language Pathologist in W Springfield, PA

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Mrs Kelly D Pettis, MACCC, SLP,L is a Speech-language Pathologist based in W Springfield, Pennsylvania. Mrs Kelly D Pettis is licensed to practice in Ohio (license number SP 4858) and her current practice location is 14639 Ridge Rd, W Springfield, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 922-7378.

NPI number for Mrs Kelly D Pettis is 1447463286 and her current mailing address is 14639 Ridge Rd, W Springfield, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447463286.

Contact Information

Mrs Kelly D Pettis, MACCC, SLP,L
14639 Ridge Rd,
W Springfield, PA 16443-1631
(814) 922-7378
(440) 293-5152

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly D Pettis
GenderFemale
SpecialitySpeech-language Pathologist
Location14639 Ridge Rd, W Springfield, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447463286
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kelly D Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447463286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP 4858 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly D Pettis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly D Pettis, MACCC, SLP,L
14639 Ridge Rd,
W Springfield, PA 16443-1631

Ph: (814) 922-7378		Mrs Kelly D Pettis, MACCC, SLP,L
14639 Ridge Rd,
W Springfield, PA 16443-1631

Ph: (814) 922-7378

Reviews and Comments


Speech-Language Pathologist in W Springfield, PA


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