MRS. KELLY D PETTIS M.A.CCC, SLP,L
NPI 1447463286
Speech-Language Pathologist in W Springfield, PA

Q: What is Kelly Pettis's NPI number?

The NPI number for Kelly Pettis is 1447463286. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Kelly Pettis'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 Pettis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 08, 2007

14639 RIDGE RD, W SPRINGFIELD, PA 16443(814) 922-7378(440) 293-5152 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kelly D Pettis M.a.ccc, Slp,l NPPES

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

MRS. KELLY D PETTIS M.A.CCC, SLP,L (NPI 1447463286) is an individual speech-language pathologist provider in W Springfield, Pennsylvania, licensed in Ohio (SP 4858) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1447463286

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KELLY D PETTISCredential: M.A.CCC, SLP,L

Location Address14639 RIDGE RDW Springfield, PA 16443-1631

Mailing Address14639 Ridge RdW Springfield, PA 16443-1631 · (814) 922-7378 · Fax (440) 293-5152

Phone(814) 922-7378

Fax(440) 293-5152

Sole ProprietorNo

Enumeration DateMay 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447463286 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 OH · SP 4858

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.

14639 RIDGE RD, W Springfield, PA 16443

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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 Pettis's NPI number?

The NPI number for Kelly Pettis is 1447463286. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Kelly Pettis located?

Kelly Pettis practices at 14639 Ridge Rd, W Springfield, PA 16443. The listed phone number is (814) 922-7378.

What is Kelly Pettis'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 Pettis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.