Provider Demographics
NPI:1689409260
Name:ARENSON, KELSEY (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:ARENSON
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12213 LONG LAKE DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1244
Mailing Address - Country:US
Mailing Address - Phone:443-690-9268
Mailing Address - Fax:
Practice Address - Street 1:2526 75TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1441
Practice Address - Country:US
Practice Address - Phone:718-350-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist