Provider Demographics
NPI:1316072028
Name:STEELE, KELLY REED (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:REED
Last Name:STEELE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:KELLY
Other - Middle Name:REED
Other - Last Name:SEBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1610 SE SUMMIT CT
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163
Mailing Address - Country:US
Mailing Address - Phone:509-332-5106
Mailing Address - Fax:
Practice Address - Street 1:1610 SE SUMMIT CT.
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163
Practice Address - Country:US
Practice Address - Phone:509-332-5106
Practice Address - Fax:509-334-5723
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00001976235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist