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KELLY ANN SHAUGHNESSY CCC-SLP
NPI 1275121006
Speech-Language Pathologist in Stockton, CA

Active since January 07, 2021
3031 W MARCH LN # 17, STOCKTON, CA 95219(209) 952-2588 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Kelly Ann Shaughnessy Ccc-slp NPPES

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

KELLY ANN SHAUGHNESSY CCC-SLP (NPI 1275121006) is an individual speech-language pathologist provider in Stockton, California, licensed in California (SP31566) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1275121006
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY ANN SHAUGHNESSYCredential: CCC-SLP
Location Address3031 W MARCH LN # 17Stockton, CA 95219-6500
Mailing Address5240 14th Pl SSalem, OR 97306-2107 · (503) 409-4754
Phone(209) 952-2588
Sole ProprietorYes
Enumeration DateJanuary 7, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1275121006 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 CA · SP31566✔ Licensed in OR · 013223
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.
3031 W MARCH LN # 17, Stockton, CA 95219
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shaughnessy's NPI number?

The NPI number for Kelly Shaughnessy is 1275121006. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Kelly Shaughnessy located?

Kelly Shaughnessy practices at 3031 W March Ln # 17, Stockton, CA 95219. The listed phone number is (209) 952-2588.

What is Kelly Shaughnessy'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 Shaughnessy was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.