MRS. KELLY BROOKE DESTEFANO
NPI 1073652194
Speech-Language Pathologist in Holly Springs, NC

Q: What is Kelly Destefano's NPI number?

The NPI number for Kelly Destefano is 1073652194. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Kelly Destefano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Destefano was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 05, 2007

5509 POINT LAKE CT, HOLLY SPRINGS, NC 27540(919) 656-2901(888) 893-4354 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kelly Brooke Destefano NPPES

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

MRS. KELLY BROOKE DESTEFANO (NPI 1073652194) is an individual speech-language pathologist provider in Holly Springs, North Carolina, licensed in North Carolina (7850) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073652194

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KELLY BROOKE DESTEFANO

Location Address5509 POINT LAKE CTHolly Springs, NC 27540-9349

Mailing Address1914 Kirkwood Ridge DrRaleigh, NC 27612-2877 · (919) 710-6477

Phone(919) 656-2901

Fax(888) 893-4354

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 29, 2012

✔ NPI 1073652194 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

License✔ Licensed in NC · 7850

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.

5509 POINT LAKE CT, Holly Springs, NC 27540

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Other Providers at the Same Location NPPES

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

BEYOND LIMITS LEARNING, INC.

Developmental Therapist

5509 POINT LAKE CT
HOLLY SPRINGS, NC 27540

Wake County (919) 656-2901

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 Kelly Destefano's NPI number?

The NPI number for Kelly Destefano is 1073652194. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kelly Destefano located?

Kelly Destefano practices at 5509 Point Lake Ct, Holly Springs, NC 27540. The listed phone number is (919) 656-2901.

What is Kelly Destefano'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 Kelly Destefano was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.