Provider Demographics
NPI:1447732094
Name:VALVANO, KELSEY CAMERON
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:CAMERON
Last Name:VALVANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15732 TROLLEY LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1278
Mailing Address - Country:US
Mailing Address - Phone:267-269-5861
Mailing Address - Fax:301-933-0350
Practice Address - Street 1:4833 RUGBY AVE STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3910
Practice Address - Country:US
Practice Address - Phone:301-913-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty