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KELLY CARLSON MACCCSLP
NPI 1083749964
Speech-Language Pathologist in Eagan, MN

Active since February 22, 2007
2795 PILOT KNOB RD, SUITE 100, EAGAN, MN 55121(651) 994-9644(651) 994-8962 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Carlson Macccslp NPPES

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

KELLY CARLSON MACCCSLP (NPI 1083749964) is an individual speech-language pathologist provider in Eagan, Minnesota, licensed in Minnesota (7663) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1083749964
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY CARLSONCredential: MACCCSLP
Location Address2795 PILOT KNOB RD, SUITE 100Eagan, MN 55121-1119
Mailing Address4058 Deerwood TrlEagan, MN 55122-1889 · (651) 994-9644 · Fax (651) 994-8962
Phone(651) 994-9644
Fax(651) 994-8962
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1083749964 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 MN · 7663
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.
2795 PILOT KNOB RD, Eagan, MN 55121
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Other Identifiers 3

OtherHP42423MN · Health Partners
Other4600723MN · Medica
Other964S0GIMN · Bcbs

Other Providers at the Same Location NPPES 20

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

SHEYLA VELAZQUEZ
Pharmacy Technician
2795 PILOT KNOB RD
EAGAN, MN 55121
Dakota County (651) 846-9245
DERMATOLOGY CENTER FOR CHILDREN & YOUNG ADULTS PA
Dermatology (Pediatric Dermatology)
2795 PILOT KNOB RD, SUITE 300
EAGAN, MN 55121
Dakota County (651) 379-9999
CLAUDIA CHRISTENSEN-MAJOR MACCCSLP
Speech-Language Pathologist
2795 PILOT KNOB RD, SUITE 100
EAGAN, MN 55121
Dakota County (651) 994-9644
MRS. CATHERINE CLAIRE SCHWARTZ OTR/L
Occupational Therapist (Pediatrics)
2795 PILOT KNOB RD
EAGAN, MN 55121
Dakota County (651) 994-9644
JENNIFER BAILEY MACCCSLP
Speech-Language Pathologist
2795 PILOT KNOB RD, SUITE #100
EAGAN, MN 55121
Dakota County (651) 994-9644
ANNE ENDRIZZI OTRL
Occupational Therapist
2795 PILOT KNOB RD, SUITE 100
EAGAN, MN 55121
Dakota County (651) 994-9644
AMBER LYNN KAYE
Pharmacy Technician
2795 PILOT KNOB RD
EAGAN, MN 55121
Dakota County (651) 846-9245
MARISSA ANN FINUCANE
Pharmacy Technician
2795 PILOT KNOB RD
EAGAN, MN 55121
Dakota County (651) 846-9245

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 Carlson's NPI number?

The NPI number for Kelly Carlson is 1083749964. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Kelly Carlson located?

Kelly Carlson practices at 2795 Pilot Knob Rd Suite 100, Eagan, MN 55121. The listed phone number is (651) 994-9644.

What is Kelly Carlson'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 Carlson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.