KELLY ROBERTSON M.A. CCC/SLP
NPI 1104148451
Speech-Language Pathologist in Lake Wylie, SC

Q: What is Kelly Robertson's NPI number?

The NPI number for Kelly Robertson is 1104148451. It was assigned to this individual provider in the NPPES registry on February 26, 2010.

Q: What is Kelly Robertson'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 Robertson was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 26, 2010

188 EVERGREEN RD, LAKE WYLIE, SC 29710(407) 690-2056 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Robertson M.a. Ccc/slp NPPES

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

KELLY ROBERTSON M.A. CCC/SLP (NPI 1104148451) is an individual speech-language pathologist provider in Lake Wylie, South Carolina, licensed in South Carolina (5367) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1104148451

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY ROBERTSONCredential: M.A. CCC/SLP

Location Address188 EVERGREEN RDLake Wylie, SC 29710-9001

Mailing Address188 Evergreen RdLake Wylie, SC 29710-9001 · (407) 690-2056

Phone(407) 690-2056

Sole ProprietorYes

Enumeration DateFebruary 26, 2010

Last NPPES UpdateFebruary 28, 2014

✔ NPI 1104148451 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

Licenses✔ Licensed in SC · 5367✔ Licensed in FL · SA 9884

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.

188 EVERGREEN RD, Lake Wylie, SC 29710

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Other Identifiers 1

Medicaid001155200FL

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 Robertson's NPI number?

The NPI number for Kelly Robertson is 1104148451. It was assigned to this individual provider in the NPPES registry on February 26, 2010.

Where is Kelly Robertson located?

Kelly Robertson practices at 188 Evergreen Rd, Lake Wylie, SC 29710. The listed phone number is (407) 690-2056.

What is Kelly Robertson'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 Robertson was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.