KELLI BANTA
NPI 1003591769
Speech-Language Pathologist in Hattiesburg, MS

Active since June 20, 2023
4805 W 4TH ST, HATTIESBURG, MS 39402(601) 270-6968 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Banta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI BANTA (NPI 1003591769) is an individual speech-language pathologist provider in Hattiesburg, Mississippi and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1003591769
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLI BANTA
Location Address4805 W 4TH STHattiesburg, MS 39402-1019
Mailing Address606 Concart StHattiesburg, MS 39401-4213 · (504) 701-4709
Sole ProprietorNo
Enumeration DateJune 20, 2023
NPPES CertifiedJune 20, 2023
NPI 1003591769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4805 W 4TH ST, Hattiesburg, MS 39402

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Occupational Therapy Assistant
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402
Speech-Language Pathologist
4805 W 4TH ST
HATTIESBURG, MS 39402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Banta's NPI number?

The NPI number for Kelli Banta is 1003591769. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Kelli Banta located?

Kelli Banta practices at 4805 W 4th St, Hattiesburg, MS 39402. The listed phone number is (601) 270-6968.

What is Kelli Banta's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelli Banta was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.