KELLY N ROUNDTREE SLP
NPI 1215583620
Speech-Language Pathologist in Gulfport, MS

Q: What is Kelly Roundtree's NPI number?

The NPI number for Kelly Roundtree is 1215583620. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Kelly Roundtree'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 Roundtree was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 12, 2019

15489 DEDEAUX RD, GULFPORT, MS 39503(228) 806-0616 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly N Roundtree Slp NPPES

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

KELLY N ROUNDTREE SLP (NPI 1215583620) is an individual speech-language pathologist provider in Gulfport, Mississippi, licensed in Mississippi (S2496) and active in the NPI registry since August 2019. She maintains a secondary practice location in Saucier.

NPPES Registry Identity

NPI1215583620

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY N ROUNDTREECredential: SLP

Location Address15489 DEDEAUX RDGulfport, MS 39503-2667

Mailing Address15489 Dedeaux RdGulfport, MS 39503-2667 · (228) 806-0616 · Fax (228) 832-0800

Phone(228) 806-0616

Sole ProprietorYes

Enumeration DateAugust 12, 2019

✔ NPI 1215583620 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 MS · S2496

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.

15489 DEDEAUX RD, Gulfport, MS 39503

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Secondary Practice Location 1

Location 123272 Hwy 49 Frontage RdSaucier, MS 39574-6047 · Phone (228) 806-0616

Other Identifiers 1

OtherS2496MS · Ms Slp License

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.

STEPHANIE JUDITH HERRERA

Behavior Technician