Most Relevant Information
Provider Data
| NPI Number: | 1003468562 |
| Provider Name: | PATRICE KELSEY JEAN M.S., CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2019 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1045 JAMES ST
SYRACUSE
NY
132032730
Practice Location Phone/Fax
| Phone: | 3154251004 |
| Fax: |
Provider Mailing Location
1045 JAMES ST
SYRACUSE
NY
132032730
Provider Mailing Phone/Fax
| Phone: | 3154251004 |
| Fax: | 3154224855 |