KELLY SUE SOUTHMAYD MS, CCC-SLP
NPI 1194218610
Speech-Language Pathologist in Brandon, FL

Active since June 09, 2018
602 VONDERBURG DR, BRANDON, FL 33511(813) 653-1149 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Sue Southmayd Ms, Ccc-slp NPPES

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

KELLY SUE SOUTHMAYD MS, CCC-SLP (NPI 1194218610) is an individual speech-language pathologist provider in Brandon, Florida, licensed in Florida (SA11605) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1194218610
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY SUE SOUTHMAYDCredential: MS, CCC-SLP
Location Address602 VONDERBURG DRBrandon, FL 33511
Mailing Address602 Vonderburg Dr Ste 201Brandon, FL 33511-5900 · (813) 653-1149
Sole ProprietorNo
Enumeration DateJune 9, 2018
Last NPPES UpdateJune 12, 2018
NPI 1194218610 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 FL · SA11605
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.
602 VONDERBURG DR, Brandon, FL 33511

Other Names 1

Former Name (1)Kelly Sue Reinert Ms, Ccc-slp

Other Identifiers 1

Medicaid1194218610FL

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.

Speech-Language Pathologist
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Specialist/Technologist (Speech-Language Assistant)
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Speech-Language Pathologist
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Speech-Language Pathologist
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Speech-Language Pathologist
602 VONDERBURG DR, #201
BRANDON, FL 33511
Specialist/Technologist (Speech-Language Assistant)
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Speech-Language Pathologist
602 VONDERBURG DR, SUITE 201
BRANDON, FL 33511
Speech-Language Pathologist
602 VONDERBURG DR
BRANDON, FL 33511

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 Southmayd's NPI number?

The NPI number for Kelly Southmayd is 1194218610. It was assigned to this individual provider in the NPPES registry on June 9, 2018. The provider is also known as Kelly Sue Reinert Ms, Ccc-Slp.

Where is Kelly Southmayd located?

Kelly Southmayd practices at 602 Vonderburg Dr, Brandon, FL 33511. The listed phone number is (813) 653-1149.

What is Kelly Southmayd'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 Southmayd was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.