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MRS. KELLY ANN FAIRRIS MA CCC SLP
NPI 1104884378
Speech-Language Pathologist in Dyer, IN

Active since May 03, 2006

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Fairris Ma Ccc Slp NPPES

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

MRS. KELLY ANN FAIRRIS MA CCC SLP (NPI 1104884378) is an individual speech-language pathologist provider in Dyer, Indiana, licensed in Indiana (22004186A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104884378
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY ANN FAIRRISCredential: MA CCC SLP
Location Address440 EDMOND DRDyer, IN 46311-1523
Mailing Address440 Edmond DrDyer, IN 46311-1523 · (219) 322-1415
Phone(219) 322-1415
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1104884378 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 IN · 22004186A
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.
440 EDMOND DR, Dyer, IN 46311
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Other Identifiers 1

Medicaid200683490IN

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.

CHRISTINE BECHER
Behavior Analyst
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
MS. CATHY MARY JEROME MS ED
Day Training/Habilitation Specialist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
STACI REYNA DT
Developmental Therapist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
TONI ALEXEYCHUK
Physical Therapist (Pediatrics)
440 EDMOND DR
DYER, IN 46311
Lake County (219) 677-2461
MRS. RAELENE S HARVEY OT
Occupational Therapist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
ALEXIS MARY MCMAHON SPEECH PATHOLOGIST
Speech-Language Pathologist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
MRS. JENNIFER D WALTERS DT
Day Training/Habilitation Specialist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415
MS. KATHLEEN MAHONEY MS ED
Day Training/Habilitation Specialist
440 EDMOND DR
DYER, IN 46311
Lake County (219) 322-1415

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 Fairris's NPI number?

The NPI number for Kelly Fairris is 1104884378. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kelly Fairris located?

Kelly Fairris practices at 440 Edmond Dr, Dyer, IN 46311. The listed phone number is (219) 322-1415.

What is Kelly Fairris'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 Fairris was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.