Provider Demographics
NPI:1538396551
Name:GOERING, KELLI JEAN (AUD)
Entity type:Individual
Prefix:MS
First Name:KELLI
Middle Name:JEAN
Last Name:GOERING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:JEAN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2330 POST ST
Mailing Address - Street 2:SUITE 270, CAMPUS BOX 0340
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3465
Mailing Address - Country:US
Mailing Address - Phone:402-202-9796
Mailing Address - Fax:415-353-2883
Practice Address - Street 1:2330 POST ST
Practice Address - Street 2:SUITE 270, CAMPUS BOX 0340
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3465
Practice Address - Country:US
Practice Address - Phone:402-202-9796
Practice Address - Fax:415-353-2883
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE900757237600000X
CAAU2813237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter