KELLY SANDERSON M.S., CCC-SLP
NPI 1184741290
Speech-Language Pathologist in East Tawas, MI

Q: What is Kelly Sanderson's NPI number?

The NPI number for Kelly Sanderson is 1184741290. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Kelly Sanderson'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 Sanderson was last updated on July 25, 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.

Active since March 23, 2007

1691 E US 23 STE 4, EAST TAWAS, MI 48730(989) 479-7550 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Jul 21, 2023 (2 updates tracked since 2023).

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About Kelly Sanderson M.s., Ccc-slp NPPES

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

KELLY SANDERSON M.S., CCC-SLP (NPI 1184741290) is an individual speech-language pathologist provider in East Tawas, Michigan, licensed in Michigan (7101001457) and active in the NPI registry since March 2007. She maintains a secondary practice location in Mikado.

NPPES Registry Identity

NPI1184741290

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY SANDERSONCredential: M.S., CCC-SLP

Location Address1691 E US 23 STE 4East Tawas, MI 48730-9337

Mailing Address3781 S Cruzen RdMikado, MI 48745-8761 · (989) 335-3942

Phone(989) 479-7550

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1184741290 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 MI · 7101001457

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.

1691 E US 23 STE 4, East Tawas, MI 48730

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Secondary Practice Location 1

Location 13781 S Cruzen RdMikado, MI 48745-8761 · Phone (989) 335-3942

Other Identifiers 1

Medicaid100462120IN

Other Providers at the Same Location NPPES 5

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

MICHELLE LYNN THERAPY PLC

Speech-Language Pathologist