Mrs Kelly Brooke Destefano, - Speech-Language Pathologist in Holly Springs, NC

Mrs Kelly Brooke Destefano, is a Speech-language Pathologist based in Holly Springs, North Carolina. Mrs Kelly Brooke Destefano is licensed to practice in North Carolina (license number 7850) and her current practice location is 5509 Point Lake Ct, Holly Springs, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 656-2901.

NPI number for Mrs Kelly Brooke Destefano is 1073652194 and her current mailing address is 1914 Kirkwood Ridge Dr, Raleigh, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073652194.

Contact Information

Mrs Kelly Brooke Destefano,
5509 Point Lake Ct,
Holly Springs, NC 27540-9349
(919) 656-2901
(888) 893-4354

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Brooke Destefano
GenderFemale
SpecialitySpeech-language Pathologist
Location5509 Point Lake Ct, Holly Springs, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073652194
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 08/29/2012

Medical Identifiers

Medical identifiers for Mrs Kelly Brooke Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073652194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7850 (North Carolina)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 Brooke Destefano 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 Brooke Destefano,
1914 Kirkwood Ridge Dr,
Raleigh, NC 27612-2877

Ph: (919) 710-6477
Mrs Kelly Brooke Destefano,
5509 Point Lake Ct,
Holly Springs, NC 27540-9349

Ph: (919) 656-2901

Reviews and Comments


Speech-Language Pathologist in Holly Springs, NC

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Speech Therapy Center Of Holly Springs, P.c.
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Medicare: Not Enrolled in Medicare
Practice Location: 360 Raleigh Street, Holly Springs, NC 27540
Phone: 919-342-5754    Fax: 919-552-0861

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